Individual
DR. MARY C UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1044 SW 4TH ST, MOORE, OK 73160-2405
(405) 735-6333
Mailing address
1044 SW 4TH ST, MOORE, OK 73160-2405
(405) 735-6333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1159
OK
Other
Enumeration date
08/03/2012
Last updated
09/26/2012
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