Sandra L Tedder


Address: 4707 Willow Grove Dr, Norman, OK 73072-4929

Sandra L Tedder (NPI# 1740213545, PAC ID# 6608931076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1740213545
PAC ID by PECOS 6608931076
Professional Enrollment ID I20090218000661
Full Name Sandra L Tedder
Address 4707 Willow Grove Dr
Norman
OK 73072-4929
Gender F
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4707 Willow Grove Dr, Norman, OK 73072-4929

Organization Information

Office Location

Street Address 4707 WILLOW GROVE DR
City NORMAN
State OK
Zip 73072-4929

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Competitor

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City NORMAN
Zip Code 73072
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty NORMAN + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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