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Individual

DR. TAMARA C NEWCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
8937 S GARNETT RD, BROKEN ARROW, OK 74012
(918) 872-9777
Mailing address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6018
(918) 872-9777

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
8415
NE
103TC0700X
Clinical Psychologist
Primary
1123
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025287200
NE
Enumeration date
07/02/2008
Last updated
07/19/2018
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