Provider Demographics
NPI:1972799849
Name:CLOUD PSYCHOLOGICAL SERVICES, INC., PC
Entity Type:Organization
Organization Name:CLOUD PSYCHOLOGICAL SERVICES, INC., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-210-1367
Mailing Address - Street 1:3280 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-8022
Mailing Address - Country:US
Mailing Address - Phone:405-210-1367
Mailing Address - Fax:405-292-1787
Practice Address - Street 1:3280 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-8022
Practice Address - Country:US
Practice Address - Phone:405-210-1367
Practice Address - Fax:405-292-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty