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NPI Code Detail

MEDICARE: LAURA GOODHEART MUGLER M.ED., L.P.C.

MEDICARE: LAURA GOODHEART MUGLER M.ED., L.P.C.
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
1101YM0800XMental Health Counselor1984OK

General Provider Information

NPI Number : 1487981627
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA GOODHEART MUGLER M.ED., L.P.C.
Provider Business Mailing Address
First Line : 9709 NE 3RD PL
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-3514
Country : US
Telephone Number : 405-610-2686
Fax Number :
Provider Business Practice Location Address
First Line : 316 S MIDWEST BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-4642
Country : US
Telephone Number : 405-733-7870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2009
Last Update Date : 11/09/2009

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