IndividualActive
Brian Bigelow, PH.D., ABPP
NPI 1780957779 · Clinical Child & Adolescent Psychologist · Lawton, OK
Provider details
- NPI number
- 1780957779
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., ABPP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 995 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
813 Sw B Ave
Lawton, OK 73501-3954
Phone: (580) 482-3900
Fax: (580) 248-1987
Approximate (ZIP-level) locationGet directions
Mailing address
Box 458 20 Rideau Ave.
Coniston, ONTARIO 010
Registry dates
- Enumerated
- 2012-02-22
- Last updated
- 2012-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.