| Martha B. Hallock Ph.d., P.c. | |
|
5272 S Lewis Ave Suite 230 Tulsa OK 74105-6544 | |
| (918) 743-1116 | |
| (918) 743-1115 |
| Full Name | Martha B. Hallock Ph.d., P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5272 S Lewis Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Martha Bell Hallock (PRESIDENT) |
| Authorized Official Contact | 9187431116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha B. Hallock Ph.d., P.c. 5272 S Lewis Ave Suite 230 Tulsa OK 74105-6544 Ph: (918) 743-1116 | Martha B. Hallock Ph.d., P.c. 5272 S Lewis Ave Suite 230 Tulsa OK 74105-6544 Ph: (918) 743-1116 |
| NPI Number | 1386896165 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386896165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1197 (Oklahoma) | Primary |
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