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Organization

DEBORAH K HARTLEY PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH K HARTLEY PH.D. (PRESIDENT)
(405) 553-1266
Entity
Organization

Contact information

Practice address
411 HUNTERS CT, EDMOND, OK 73034-4217
(405) 553-1266
Mailing address
411 HUNTERS CT, EDMOND, OK 73034-4217
(405) 553-1266

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0777
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
442546934002
BCBS OF OKLAHOMA
OK
Enumeration date
11/29/2006
Last updated
09/18/2007
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