IndividualActive
Caleb Lack, PH.D.
NPI 1003074741 · Clinical Psychologist · Edmond, OK
Provider details
- NPI number
- 1003074741
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 07-37P (AR)
Mailing address
7413 Oak Ave
Edmond, OK 73034-9058
Registry dates
- Enumerated
- 2008-05-29
- Last updated
- 2018-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.