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Individual

BARTON JAY TRENTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4870 S LEWIS, 180, TULSA, OK 74105
(918) 628-7277
(918) 742-7677
Mailing address
4870 S LEWIS, 180, TULSA, OK 74105
(918) 628-7277
(918) 742-7677

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
763
OK

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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