Provider Demographics
NPI:1508189473
Name:CORNERSTONE CLINICAL SERVICES
Entity Type:Organization
Organization Name:CORNERSTONE CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT CANDIDATE,
Authorized Official - Phone:580-226-3893
Mailing Address - Street 1:511 LAKE MURRAY DR S
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-3848
Mailing Address - Country:US
Mailing Address - Phone:580-226-3893
Mailing Address - Fax:888-448-1191
Practice Address - Street 1:511 LAKE MURRAY DR S
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-3848
Practice Address - Country:US
Practice Address - Phone:580-226-3893
Practice Address - Fax:888-448-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health