Micheline Witjenburg Psyd Pllc

NPI #1013254440 in Norman, Oklahoma

Provider Information

NPI Number: 1013254440
Entity Type: Organization
Organization Name: Micheline Witjenburg Psyd Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 4, 2013
Last Updated: Jan 4, 2013

Practice Location

Address: 1225 W MAIN ST
Address 2: SUITE 102
City: Norman
State: Oklahoma
ZIP Code: 73069-6824
Phone: (405) 292-1000

Authorized Official

Name: MICHELINE WITJENBURG, PSYD
Title: PRESIDENT
Phone: (405) 292-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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