Individual
MRS. MARY ANNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
2121 S COLUMBIA AVE, #580, TULSA, OK 74114-3519
(918) 747-9292
(918) 747-9293
Mailing address
2121 S COLUMBIA AVE, #580, TULSA, OK 74114-3519
(918) 747-9292
(918) 747-9293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
591
OK
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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