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Organization

GLENNA STUMBLINGBEAR-RIDDLE, PH.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENNA STUMBLINGBEAR-RIDDLE PH.D. (OWNER/PSYCHOLOGIST)
(405) 292-1000
Entity
Organization

Contact information

Practice address
1225 W MAIN ST, 102, NORMAN, OK 73069-6824
(405) 292-1000
(405) 801-2506
Mailing address
1225 W MAIN ST, 102, NORMAN, OK 73069-6824
(405) 292-1000

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1138
OK

Other

Enumeration date
02/13/2012
Last updated
02/13/2012
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