Individual
SUSAN TAFT MARCUS-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3750 W MAIN ST STE AA, NORMAN, OK 73072-4645
(405) 627-1720
Mailing address
820 NANCY LYNN TER, NORMAN, OK 73069-4224
(405) 627-1720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
655
OK
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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