Organization
SANDRA L TEDDER PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L TEDDER PHD (PRESIDENT)
(405) 360-3963
Entity
Organization
Contact information
Practice address
4707 WILLOW GROVE DR, NORMAN, OK 73072-4929
(405) 360-3963
(405) 360-4951
Mailing address
PO BOX 1729, NORMAN, OK 73070-1729
(405) 321-3499
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
389
OK
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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