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Amy Polge — NPI 1710264361, Owasso, OK | NPI Central

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OrganizationActive

Amy Polge

NPI 1710264361 · Community/Behavioral Health Agency · Owasso, OK

Provider details

NPI number: 1710264361
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Organization subpart: No
Authorized official: Ondria Gleason, Director(918) 660-3511
License: 2653 (OK)

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000XLicense 2653 (OK)
Agencies

Practice location

15007 E 88th St N

Owasso, OK 74055-4863

Phone: (918) 638-0302

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

15007 E 88th St. N

Owasso, OK 74055

Other names (DBA / former)

Doing business as: Ou Psychiatry Clinic

Registry dates

Enumerated: 2011-11-10
Last updated: 2011-11-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.