Individual
DORIS J WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3441 W MEMORIAL RD, SUITE 7, OKLAHOMA CITY, OK 73134-7000
(405) 286-6000
Mailing address
PO BOX 60847, OKLAHOMA CITY, OK 73146-0847
(405) 286-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
880
OK
Other
Enumeration date
07/24/2006
Last updated
07/29/2019
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