Individual
KORTNEY A RIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. PSYCHOLOGIST
Contact information
Practice address
1900 E 15TH ST STE 800B, EDMOND, OK 73013-6682
(405) 455-6868
(405) 562-3444
Mailing address
1900 E 15TH ST STE 800B, EDMOND, OK 73013-6682
(405) 455-6868
(405) 562-3444
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1416
OK
Other
Enumeration date
08/17/2021
Last updated
09/20/2022
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