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Individual

DR. MICHAEL STEPHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4200 W MEMORIAL RD, #801, OKLAHOMA CITY, OK 73120-9350
(405) 858-8777
(405) 858-8777
Mailing address
4200 W MEMORIAL RD, #801, OKLAHOMA CITY, OK 73120-9350
(405) 858-8777
(405) 858-8777

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
540
OK
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
540
OK
103TC2200X
Clinical Child & Adolescent Psychologist
540
OK
103TE1100X
Exercise & Sports Psychologist
540
OK
103TF0000X
Family Psychologist
540
OK

Other

Enumeration date
08/13/2006
Last updated
06/01/2017
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