MEDICARE: DR. SCOTTIE L HASKINS JR. PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		OK
2	251S00000X	Community/Behavioral Health Agency	LPC 2868	OK

General Provider Information

NPI Number	:	1184761553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTTIE L HASKINS JR. PH.D.

Provider Business Mailing Address
First Line	:	COPE INC., 2701 N OKLAHOMA AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105
Country	:	US
Telephone Number	:	405-528-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	COPE INC., 2701 N OKLAHOMA AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105
Country	:	US
Telephone Number	:	405-528-8686
Fax Number	:	405-528-8692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	09/11/2025

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