| Tulsa Neuropsych Associates | |
|
3015 E Skelly Dr Suite 135 Tulsa OK 74105-6317 | |
| (918) 712-2885 | |
| (918) 712-9019 |
| Full Name | Tulsa Neuropsych Associates |
|---|---|
| Speciality | Psychologist |
| Location | 3015 E Skelly Dr, Tulsa, Oklahoma |
| Authorized Official Name and Position | Adam G Sherman (PRESIDENT) |
| Authorized Official Contact | 9187122885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Neuropsych Associates 3015 E Skelly Dr Suite 135 Tulsa OK 74105-6317 Ph: (918) 712-2885 | Tulsa Neuropsych Associates 3015 E Skelly Dr Suite 135 Tulsa OK 74105-6317 Ph: (918) 712-2885 |
| NPI Number | 1083098800 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 8325340680 |
|---|---|
| Medicare Enrollment ID | O20160105000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083098800 | NPI | - | NPPES |
| 100836930A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 771 (Oklahoma) | Primary |
| Provider Name | Adam G Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225210115 PECOS PAC ID: 8921124439 Enrollment ID: I20100921001525 |
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