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Organization

MARTHA B. HALLOCK PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTHA BELL HALLOCK PH.D. (PRESIDENT)
(918) 743-1116
Entity
Organization

Contact information

Practice address
5272 S LEWIS AVE, SUITE 230, TULSA, OK 74105-6544
(918) 743-1116
(918) 743-1115
Mailing address
5272 S LEWIS AVE, SUITE 230, TULSA, OK 74105-6544
(918) 743-1116
(918) 743-1115

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1197
OK

Other

Enumeration date
10/13/2008
Last updated
10/13/2008
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