| High Hills Psychological Services | |
|
2526 E 71st St Ste J Tulsa OK 74136-5576 | |
| (918) 904-0279 | |
| Not Available |
| Full Name | High Hills Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 2526 E 71st St Ste J, Tulsa, Oklahoma |
| Authorized Official Name and Position | Parker T Shaw (PHD) |
| Authorized Official Contact | 9189040279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Hills Psychological Services Po Box 38 Jenks OK 74037-0038 Ph: (918) 904-0279 | High Hills Psychological Services 2526 E 71st St Ste J Tulsa OK 74136-5576 Ph: (918) 904-0279 |
| NPI Number | 1710450788 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 8325400427 |
|---|---|
| Medicare Enrollment ID | O20230821002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710450788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Parker T Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851876924 PECOS PAC ID: 7113350240 Enrollment ID: I20200424000279 |
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