Individual
KAYLA MARIE STANDINGWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 1/2 VALLEY AVE, TAHLEQUAH, OK 74464-2809
(918) 373-2434
Mailing address
1 1/2 VALLEY AVE, TAHLEQUAH, OK 74464-2809
(918) 373-2434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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