Individual
DR. DEBORAH LARSON-STOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104
(405) 456-3415
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(651) 214-6974
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
124192
AK
Other
Enumeration date
04/20/2017
Last updated
02/25/2019
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