Individual
MS. LISA DEE GARDNER- RUMINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
711 STANTON L YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104-5022
(405) 271-6434
(405) 271-6264
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 272-0660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2492
OK
101YP2500X
Professional Counselor
Primary
—
—
103G00000X
Clinical Neuropsychologist
2492
OK
Other
Enumeration date
01/25/2007
Last updated
02/18/2020
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