Individual
DR. ALICE JANINE WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1900 SLEEPY HOLLOW RD, EDMOND, OK 73034-7431
(405) 474-4151
(405) 330-2938
Mailing address
1900 SLEEPY HOLLOW RD, EDMOND, OK 73034-7431
(405) 474-4151
(405) 330-2938
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
610
OK
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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