Individual
MRS. ELIZABETH BLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 DARLINGTON RD NW, CALUMET, OK 73014-6850
(405) 401-2310
Mailing address
PO BOX 515, EL RENO, OK 73036-0515
(405) 401-2310
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
222Q00000X
Developmental Therapist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
07/23/2020
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