Individual
THERESA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1301 S BROADWAY AVE, POTEAU, OK 74953-5260
(918) 839-0825
(918) 647-4339
Mailing address
38991 MORRIS CREEK ROAD, HOWE, OK 74940-7341
(918) 839-0825
(918) 647-4339
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
937
OK
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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