Individual
DR. JUSTIN HULL ORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1044 SW 4TH ST, MOORE, OK 73160-2405
(405) 735-6300
Mailing address
1044 SW 4TH ST, MOORE, OK 73160-2405
(405) 735-6300
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1334
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1334
OKLAHOMA HSP LICENSE
OK
Enumeration date
12/16/2014
Last updated
08/12/2020
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