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Individual

DR. JOHN M. CUMMINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
500 W ROGERS BLVD, SUITE E, SKIATOOK, OK 74070-1081
(918) 396-9004
(918) 396-2218
Mailing address
500 W ROGERS BLVD, SUITE E, SKIATOOK, OK 74070-1081
(918) 396-9004
(918) 396-2218

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
2-3601
TX
103TH0100X
Health Service Psychologist
Primary
1209
OK

Other

Enumeration date
07/30/2007
Last updated
02/05/2015
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