IndividualActive
Diane Willis, PHD
NPI 1306016118 · Clinical Child & Adolescent Psychologist · Norman, OK
Provider details
- NPI number
- 1306016118
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 164 (OK)
Mailing address
4520 Ridgeline Dr
Norman, OK 73072-1729
Registry dates
- Enumerated
- 2008-03-07
- Last updated
- 2008-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.