| Judith K. Adams, Inc. | |
|
9726 East 42nd Street So. Suite 106 Tulsa OK 74146-3673 | |
| (918) 712-7711 | |
| (918) 712-8865 |
| Full Name | Judith K. Adams, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 9726 East 42nd Street So., Tulsa, Oklahoma |
| Authorized Official Name and Position | Judith Karen Adams (CEO) |
| Authorized Official Contact | 9187127711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith K. Adams, Inc. 9726 East 42nd Street So. Suite 106 Tulsa OK 74146-3673 Ph: (918) 712-7711 | Judith K. Adams, Inc. 9726 East 42nd Street So. Suite 106 Tulsa OK 74146-3673 Ph: (918) 712-7711 |
| NPI Number | 1962663856 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 05/24/2016 |
| Medicare PECOS PAC ID | 6901079417 |
|---|---|
| Medicare Enrollment ID | O20111028000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962663856 | NPI | - | NPPES |
| 100842090E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 388 (Oklahoma) | Primary |
| Provider Name | Judith K. Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326103086 PECOS PAC ID: 7214117803 Enrollment ID: I20110215000271 |
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