Provider Demographics
NPI:1972910396
Name:LANCASTER PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:LANCASTER PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-570-6776
Mailing Address - Street 1:PO BOX 720961
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-4745
Mailing Address - Country:US
Mailing Address - Phone:405-570-6776
Mailing Address - Fax:405-310-4052
Practice Address - Street 1:3200 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73019-4745
Practice Address - Country:US
Practice Address - Phone:405-570-6776
Practice Address - Fax:405-310-4052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty