Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Caleb Wayne Lack, PHD

Individual provider Clinical Psychologist · NPI 1003074741

Dr. Caleb Wayne Lack, PHD is a Clinical Psychologist in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Arkansas and Oklahoma.

Licensed in
AR, OK
In the registry since
2008
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7413 Oak Ave
Edmond, OK 73034-9058
Phone: (405) 509-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1143 (OK)
Clinical Psychologist Taxonomy 103TC0700X · Licence 07-37P (AR)

Record details

NPI number1003074741
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESMarch 21, 2018
Mailing address7413 Oak Ave, Edmond, OK 73034-9058

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