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Individual

DR. REBECCA LYNN NICHOLAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST, ED.D.

Contact information

Practice address
2526 E 71ST ST, SUITE D, TULSA, OK 74136-5538
(918) 230-3742
(918) 493-6381
Mailing address
2526 E 71ST ST, SUITE D, TULSA, OK 74136-5538
(918) 230-3742
(918) 493-6381

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
547
OK

Other

Enumeration date
08/27/2005
Last updated
07/08/2007
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