Organization
SOUTHERN OKLAHOMA PSYCHOLOGICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBIN M. WIGDOR PH.D (PRESIDENT)
(580) 332-9531
Entity
Organization
Contact information
Practice address
422 S HIGHLAND ST, ADA, OK 74820-6949
(580) 332-9531
Mailing address
422 S HIGHLAND ST, ADA, OK 74820-6949
(580) 332-9531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
516
OK
Other
Enumeration date
09/24/2007
Last updated
10/26/2007
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