Tulsa Center For Child Psychology Pllc | |
5110 S Yale Ave Ste 103 Tulsa OK 74135-7401 | |
(918) 779-7637 | |
Not Available |
Full Name | Tulsa Center For Child Psychology Pllc |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 5110 S Yale Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Richard Walton (OWNER) |
Authorized Official Contact | 9187797637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tulsa Center For Child Psychology Pllc 6966 S Utica Ave Ste 225 Tulsa OK 74136-3903 Ph: (918) 492-6333 | Tulsa Center For Child Psychology Pllc 5110 S Yale Ave Ste 103 Tulsa OK 74135-7401 Ph: (918) 779-7637 |
NPI Number | 1568632776 |
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Provider Enumeration Date | 03/04/2008 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
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1568632776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 508 (Oklahoma) | Primary |
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