Individual
DR. LISA C. GOULDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4735 E 91ST ST, SUITE 100, TULSA, OK 74137-2807
(918) 249-8885
(918) 249-8211
Mailing address
4735 E 91ST ST, SUITE 100, TULSA, OK 74137-2807
(918) 249-8885
(918) 249-8211
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
856
OK
Other
Enumeration date
03/08/2007
Last updated
07/10/2012
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