Organization
FRED B. BRAMBLE, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED B. BRAMBLE PH.D. (PRESIDENT)
(918) 749-9897
Entity
Organization
Contact information
Practice address
2121 S COLUMBIA AVE, SUITE 410, TULSA, OK 74114-3505
(918) 749-9897
(918) 749-9962
Mailing address
2121 S COLUMBIA AVE, SUITE 410, TULSA, OK 74114-3505
(918) 749-9897
(918) 749-9962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
170
OK
Other
Enumeration date
04/23/2007
Last updated
06/17/2008
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