Organization
DR. ALICE WELLINGTON, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE JANINE WELLINGTON PH.D. (CLINICAL PSYCHOLOGIST)
(405) 474-4151
Entity
Organization
Contact information
Practice address
119 S BROADWAY, EDMOND, OK 73034-3843
(405) 474-4151
(405) 330-2938
Mailing address
119 S BROADWAY, EDMOND, OK 73034-3843
(405) 474-4151
(405) 330-2938
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
610
OK
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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