Diane C.kirk, Psy.d, Pllc

NPI #1992259535 in Tulsa, Oklahoma

Provider Information

NPI Number: 1992259535
Entity Type: Organization
Organization Name: Diane C.kirk, Psy.d, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 11, 2016
Last Updated: Aug 11, 2016

Practice Location

Address: 3010 S HARVARD AVE
Address 2: SUITE 110
City: Tulsa
State: Oklahoma
ZIP Code: 74114-6124
Phone: (302) 545-5353

Authorized Official

Name: DR. DIANE C KIRK, PSY.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (302) 545-5353

Specialties & Taxonomy Codes

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

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