Individual
MS. MARTI S. VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
19119 E ROGERS DR, TAHLEQUAH, OK 74464-0624
(918) 808-9084
Mailing address
19119 E ROGERS DR, TAHLEQUAH, OK 74464-0624
(918) 808-9084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1244
OK
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1244
OK
Other
Enumeration date
04/29/2008
Last updated
10/13/2015
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