Individual
PAULA HILDESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
Mailing address
407 WILL ROGERS LOOP E, OOLOGAH, OK 74053-6211
(918) 625-1458
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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