Individual
ALICIA ANN IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
442104 E. 250 RD, VINITA, OK 74301
(918) 256-7841
Mailing address
8243 S COLLEGE AVE, TULSA, OK 74137-1321
(918) 816-7597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/09/2007
Last updated
09/10/2008
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