Healthcare Provider Details

I. General information

NPI: 1679663728
Provider Name (Legal Business Name): MORNA RUTH PEDERSON-RAMBO MA, LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORNA RUTH PEDERSON MA

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 E 51ST ST SUITE #400
TULSA OK
74135-7461
US

IV. Provider business mailing address

400 NW 34TH ST
OKLAHOMA CITY OK
73118-8647
US

V. Phone/Fax

Practice location:
  • Phone: 918-388-6438
  • Fax: 918-388-6456
Mailing address:
  • Phone: 405-525-6139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number661
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number518
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: