Organization
DENNIS J. MORAN, PH.D. PC
Active
Other names
Clinical Psychologay
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS J. MORAN PH.D. (CLINICAL PSYCHOLOGIST)
(405) 681-1227
Entity
Organization
Contact information
Practice address
1601 SW 89TH ST, SUITE B-100, OKLAHOMA CITY, OK 73159-6349
(405) 681-1227
(405) 681-1228
Mailing address
1601 SW 89TH ST, SUITE B-100, OKLAHOMA CITY, OK 73159-6349
(405) 681-1227
(405) 681-1228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
463
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446520162-002
BCBS PIN
OK
Enumeration date
01/10/2007
Last updated
02/25/2009
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