Organization
MERLY MATHEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLY MATHEW PH.D. (PSYCHOLOGIST)
(405) 242-6460
Entity
Organization
Contact information
Practice address
3035 NW 63RD ST, SUITE 227, OKLAHOMA CITY, OK 73116-3631
(405) 242-6460
Mailing address
3035 NW 63RD ST, SUITE 227, OKLAHOMA CITY, OK 73116-3632
(405) 242-6460
(405) 212-4463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1224
OK
Other
Enumeration date
04/01/2016
Last updated
09/07/2016
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