Lara Mae Mattox PH.D.

NPI 1073626545 - Psychologist - 103TC0700X

NPI Details
NPI 1073626545
Gender Female
Enumeration Date 08/17/2006
Last Updated 11/03/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3015 EAST SKELLY DRIVE
SUITE 305
TULSA OK, 74105-6317, US
Phone (918) 392-4866
Fax (918) 392-4867
Business Location
3015 EAST SKELLY DRIVE
SUITE 305
TULSA OK, 74105-6317, US
Phone (918) 392-4866
Fax (918) 392-4867
Toxanomy
Taxonomy Code 103TC0700X
License State Arkansas
License Number 06-09P
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According to our database, Dr. Lara Mae Mattox PH.D. NPI is 1073626545, taxonomy code is 103TC0700X and license number is 06-09P, license state is located at Arkansas. Lara Mae Mattox PH.D. physically located at 3015 East Skelly Drive, Tulsa OK, 74105-6317. NPI Number Lara Mae Mattox PH.D. has the Individual type.

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1073626545 NPI number is provided on an as is basis without warranty of any kind. 1073626545 is maintained by the National Plan & Provider Enumeration System. The contents of Lara Mae Mattox PH.D. are for informational purposes only.