Provider Demographics
NPI:1689001273
Name:LAGLEY, HAROLD JOSEPH JR (DMIN)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JOSEPH
Last Name:LAGLEY
Suffix:JR
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SE FRANK PHILLIPS BLVD
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-4318
Mailing Address - Country:US
Mailing Address - Phone:918-336-0810
Mailing Address - Fax:
Practice Address - Street 1:1110 SE FRANK PHILLIPS BLVD
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-4318
Practice Address - Country:US
Practice Address - Phone:918-336-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK693106H00000X
TX3358106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist