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Individual

DR. DENISE M DART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2321 E 3RD ST, TULSA, OK 74104-1831
(918) 622-0641
Mailing address
1205 S UMBRELLA AVE, BROKEN ARROW, OK 74012-4569
(602) 885-5026

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4169
AZ
103TC0700X
Clinical Psychologist
Primary
4169
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
4169
AZ

Other

Enumeration date
02/16/2011
Last updated
07/21/2022
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