Organization
MICHELINE WITJENBURG PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINE WITJENBURG PSYD (PRESIDENT)
(405) 292-1000
Entity
Organization
Contact information
Practice address
1225 W MAIN ST, SUITE 102, NORMAN, OK 73069-6824
(405) 292-1000
(405) 310-4052
Mailing address
1225 W MAIN ST, SUITE 102, NORMAN, OK 73069-6824
(405) 292-1000
(405) 310-4052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1158
OK
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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