Organization
MIND THE GAP NEUROPSYCHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE TALLEY PSYD (PSYCHOLOGIST)
(602) 625-1943
Entity
Organization
Contact information
Practice address
10621 HASKELL LN, OKLAHOMA CITY, OK 73162-8212
(602) 625-1943
Mailing address
10621 HASKELL LN, OKLAHOMA CITY, OK 73162-8212
(602) 625-1943
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1087
OK
Other
Enumeration date
10/23/2017
Last updated
11/22/2017
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