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Organization
TULSA CENTER FOR CHILD PSYCHOLOGY PLLC
Active
Organization
TULSA CENTER FOR CHILD PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WALTON PHD (OWNER)
(918) 779-7637
Entity
Organization
Contact information
Practice address
5110 S YALE AVE, STE 103, TULSA, OK 74135-7401
(918) 779-7637
Mailing address
6966 S UTICA AVE, STE 225, TULSA, OK 74136-3903
(918) 492-6333
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
508
OK
Other
Enumeration date
03/04/2008
Last updated
06/20/2008
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