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Organization

MARION SIGURDSON, PH.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARION SIGURDSON PH.D. (MANAGER)
(918) 949-3533
Entity
Organization

Contact information

Practice address
3150 E 41ST ST, SUITE 107, TULSA, OK 74105-3717
(918) 949-3533
Mailing address
3150 E 41ST ST, SUITE 107, TULSA, OK 74105-3717
(918) 949-3533

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
305
OK
103TB0200X
Cognitive & Behavioral Psychologist
305
OK
103TC1900X
Counseling Psychologist
Primary
305
OK
103TF0000X
Family Psychologist
305
OK
103TH0100X
Health Service Psychologist
305
OK

Other

Enumeration date
10/04/2011
Last updated
10/04/2011
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