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Organization

PSYCHOLOGICAL SERVICES OF TULSA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN SNIDER PH.D. (OWNER/MEMBER)
(918) 492-2480
Entity
Organization

Contact information

Practice address
7020 S YALE AVE, SUITE 220, TULSA, OK 74136-5715
(918) 492-2480
(918) 477-9446
Mailing address
7020 S YALE AVE, SUITE 220, TULSA, OK 74136-5715
(918) 492-2480
(918) 477-9446

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
913
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100851550A
OK
Enumeration date
09/29/2014
Last updated
09/29/2014
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