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NPI Code Detail

MEDICARE: DR. DIANA GAIL MOBLEY PH.D.

MEDICARE: DR. DIANA GAIL MOBLEY PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist461OK

General Provider Information

NPI Number : 1841369097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA GAIL MOBLEY PH.D.
Provider Business Mailing Address
First Line : 1809 ROBIN RIDGE DR
Second Line :
City : NORMAN
State : OK
Zip : 73072-2867
Country : US
Telephone Number : 405-360-2274
Fax Number :
Provider Business Practice Location Address
First Line : 2424 SPRINGER DR
Second Line : SUITE 102
City : NORMAN
State : OK
Zip : 73069-3966
Country : US
Telephone Number : 405-360-2274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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