Individual
DR. MARY ELIZABETH CARDONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5110 SOUTH YALE AVENUE, SUITE 103, TULSA, OK 74135
(918) 779-7637
(918) 938-6037
Mailing address
5110 SOUTH YALE AVENUE, SUITE 103, TULSA, OK 74135
(918) 779-7637
(918) 938-6037
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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