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Organization

MARCI M. LEVERIDGE, PH.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCI LEVERIDGE PH.D. (DIRECTOR)
(405) 749-8559
Entity
Organization

Contact information

Practice address
3441 W MEMORIAL RD, SUITE 5, OKLAHOMA CITY, OK 73134-7000
(405) 749-8559
(405) 749-8560
Mailing address
3441 W MEMORIAL RD, SUITE 5, OKLAHOMA CITY, OK 73134-7000
(405) 749-8559
(405) 749-8560

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
851
OK

Other

Enumeration date
11/15/2011
Last updated
11/15/2011
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