Individual
-KATHLEEN LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-3410
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-3410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
943
OK
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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