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Individual

SANDRA F ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4200 PERIMETER CENTER DR STE 245, OKLAHOMA CITY, OK 73112-2322
(405) 437-0014
Mailing address
PO BOX 30133, EDMOND, OK 73003-0003
(405) 437-0014

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
623
OK
103TC0700X
Clinical Psychologist
Primary
623
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100839410A
OK
Enumeration date
03/14/2006
Last updated
02/02/2024
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