Provider Demographics
NPI:1235499773
Name:LAWS-RODRIGUEZ, JOAQUIN AMADO (PHD, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:JOAQUIN
Middle Name:AMADO
Last Name:LAWS-RODRIGUEZ
Suffix:
Gender:M
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 ADAMS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1007
Mailing Address - Country:US
Mailing Address - Phone:405-701-8400
Mailing Address - Fax:405-310-2081
Practice Address - Street 1:4330 ADAMS RD STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1007
Practice Address - Country:US
Practice Address - Phone:405-701-8400
Practice Address - Fax:405-310-2081
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5124101YP2500X
OK1421103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional