Organization
PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC
Active
Organization
PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI HOLMQUIST-DAY PHD (PEDIATRIC NEUROPSYCHOLOGIST)
(405) 713-7065
Entity
Organization
Contact information
Practice address
3330 NW 56TH ST, SUITE 305, OKLAHOMA CITY, OK 73112-4479
(405) 713-7065
(405) 713-7064
Mailing address
3330 NW 56TH ST, SUITE 305, OKLAHOMA CITY, OK 73112-4479
(405) 713-7065
(405) 713-7064
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
944
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013880B
—
OK
Enumeration date
06/14/2012
Last updated
06/14/2012
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