Individual
JAN L CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1100 NE 13TH ST, CSC, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
381
OK
103T00000X
Psychologist
Primary
381
OK
Other
Enumeration date
03/10/2006
Last updated
07/03/2008
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