Individual
DR. ANGELA DEDMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2500 S BROADWAY STE 200, EDMOND, OK 73013-4039
(405) 514-1476
Mailing address
1512 NW 193RD ST, EDMOND, OK 73003-3482
(405) 216-8772
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
897
OK
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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