NPIMap

Organization Active NPI

Sandra L Tedder PHD Inc

  • Psychologist
  • Norman, OK
National Provider Identifier
1487812962
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
389 Issued in OK
Legal business name
SANDRA L TEDDER PHD INC
Practice address
4707 Willow Grove Dr
Norman, OK 73072-4929
Phone
(405) 360-3963
Fax
(405) 360-4951
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra L Tedder, PHD
Title
President
Phone
(405) 360-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 389 OK Primary

Addresses

Primary practice location

4707 Willow Grove Dr
Norman, OK 73072-4929

Mailing address

PO Box 1729
Norman, OK 73070-1729
Phone (405) 321-3499

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1487812962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701729",
            "telephone_number": "405-321-3499",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 WILLOW GROVE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724929",
            "telephone_number": "405-360-3963",
            "fax_number": "405-360-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L TEDDER PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-360-3963",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.