Individual
KAREN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3010 S HARVARD AVE, SUITE 110, TULSA, OK 74114-6124
(918) 749-1840
(918) 749-1841
Mailing address
3010 S HARVARD AVE, SUITE 110, TULSA, OK 74114-6124
(918) 749-1840
(918) 749-1841
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1155
OK
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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