Individual
DR. DOROTHY LYNETTE MILLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
THE ELITE MEDICAL CLINIC, 3336 E 32ND STREET, TULSA, OK 74135-4448
(918) 740-4066
(918) 670-7364
Mailing address
P.O. BOX 52135 DOROTHY MILLICAN, TULSA, OK 74152-0135
(918) 740-4066
(918) 742-4900
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
634
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100837450
—
OK
Enumeration date
04/26/2007
Last updated
09/13/2024
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