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Individual

MARK ANTHONY SPERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 491-3725
(918) 491-5740
Mailing address
PO BOX 21228, DEPARTMENT 31, TULSA, OK 74121-1228
(918) 491-3725
(918) 491-5740

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
400
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95203
CIGNA BEHAVIORAL HEALTH
Enumeration date
02/28/2006
Last updated
03/05/2008
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