Individual
DR. JONATHAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3035 NW 63RD ST, STE 227, OKLAHOMA CITY, OK 73116-3632
(405) 242-6460
Mailing address
2709 DOWNING CT, EDMOND, OK 73034-6728
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1239
OK
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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