Individual
LILIANA F SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
2607 NW 65TH ST, OKLAHOMA CITY, OK 73116-4905
(405) 842-3550
Mailing address
2607 NW 65TH ST, OKLAHOMA CITY, OK 73116-4905
(405) 842-3550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
424
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100836880C
—
OK
Enumeration date
02/10/2006
Last updated
06/26/2012
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