| Diane C.kirk, Psy.d, Pllc | |
|
3010 S Harvard Ave Suite 110 Tulsa OK 74114-6124 | |
| (302) 545-5353 | |
| Not Available |
| Full Name | Diane C.kirk, Psy.d, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3010 S Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Diane C Kirk (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3025455353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane C.kirk, Psy.d, Pllc 1616 E 32nd Pl Tulsa OK 74105-2117 Ph: (302) 545-5353 | Diane C.kirk, Psy.d, Pllc 3010 S Harvard Ave Suite 110 Tulsa OK 74114-6124 Ph: (302) 545-5353 |
| NPI Number | 1992259535 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992259535 | NPI | - | NPPES |
| 200594670A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1234 (Oklahoma) | Primary |
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