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

Mr. Jacob Austin Slagle, MSBS

Individual provider Rehabilitation Psychologist · NPI 1942574793

Mr. Jacob Austin Slagle, MSBS is a Rehabilitation Psychologist in Lawton, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2012
Specialties on file
3

Practice location Address checks out

5007 SW Country Club Dr
Lawton, OK 73505-6830
Phone: (580) 591-1912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (OK)
Rehabilitation Psychologist Taxonomy 103TR0400X (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1942574793
Entity typeIndividual (Type 1)
GenderMale
Credentials MSBS
Sole proprietorYes
NPI enumeratedFebruary 25, 2012
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address5007 Sw Country Club Dr, Lawton, OK 73505-6830

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