Individual
ERICA ANTIONETTE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 S INDIANA AVE, OKLAHOMA CITY, OK 73159-7122
(405) 406-3441
Mailing address
9300 S INDIANA AVE, OKLAHOMA CITY, OK 73159-7122
(405) 406-3441
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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