Individual
ALICIA L VENUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP-CN
Contact information
Practice address
1044 SW 4TH ST, MOORE, OK 73160-2405
(405) 735-6333
(405) 735-6629
Mailing address
1044 SW 4TH ST, MOORE, OK 73160-2405
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
04/26/2023
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