| Brainstorm Psychological Services, Pllc | |
|
215 S Muskogee Ave Tahlequah OK 74464-3658 | |
| (918) 216-0162 | |
| Not Available |
| Full Name | Brainstorm Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 215 S Muskogee Ave, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Marti Velez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9188089084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainstorm Psychological Services, Pllc 3871 Lexington Ave Tahlequah OK 74464-5056 Ph: (918) 808-9084 | Brainstorm Psychological Services, Pllc 215 S Muskogee Ave Tahlequah OK 74464-3658 Ph: (918) 216-0162 |
| NPI Number | 1699506725 |
|---|---|
| Provider Enumeration Date | 08/10/2024 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699506725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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