Joseph Dewayne Elam SR. PH.D.

NPI 1619022746 - Psychologist - 103T00000X

NPI Details
NPI 1619022746
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
25 S MIDWEST BLVD
EDMOND OK, 73034-8409, US
Phone (405) 330-9111
Fax (405) 330-7889
Business Location
25 S MIDWEST BLVD
EDMOND OK, 73034-8409, US
Phone (405) 330-9111
Fax (405) 330-7889
Toxanomy
Taxonomy Code 103T00000X
License State Oklahoma
License Number 410
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According to our database, Dr. Joseph Dewayne Elam SR. PH.D. NPI is 1619022746, taxonomy code is 103T00000X and license number is 410, license state is located at Oklahoma. Joseph Dewayne Elam SR. PH.D. physically located at 25 S Midwest Blvd, Edmond OK, 73034-8409. NPI Number Joseph Dewayne Elam SR. PH.D. has the Individual type.

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1619022746 NPI number is provided on an as is basis without warranty of any kind. 1619022746 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Dewayne Elam SR. PH.D. are for informational purposes only.