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Individual

DR. TIMOTHY JAMES RANDALL LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-8000
Mailing address
4416 N BARNES AVE, OKLAHOMA CITY, OK 73112-8818

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary

Other

Enumeration date
10/21/2022
Last updated
10/21/2022
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