Individual
MR. ROBERT Z TATE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1151 E MAIN ST, NORMAN, OK 73071-5331
(405) 701-2015
Mailing address
2950 NW TACKLE BOX RD, LAWTON, OK 73507-1512
(804) 831-3875
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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