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Micah Clark

NPI 1295692986 · on the registry since 2026

Practice

Address
2219 Sw 74th St
Oklahoma City, OK 73159
Phone
(405) 355-3239
Organisation at this address
Walnut Behavioral Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 400 Se 2nd St, Blanchard, OK

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma