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Individual

ALAN LEE CONGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY D

Contact information

Practice address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Mailing address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
395
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100840740A
OK
Enumeration date
07/14/2006
Last updated
07/05/2010
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