Alicia Ann Irvin, PHD | |
442104 E. 250 Rd, Vinita, OK 74301 | |
(918) 256-7841 | |
Not Available |
Full Name | Alicia Ann Irvin |
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Gender | Female |
Speciality | Psychologist |
Location | 442104 E. 250 Rd, Vinita, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689877292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Entity Name | Deer Oaks Mental Health Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20130413000082 |
Entity Name | Senior Psychological Care Of Oklahoma, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740931609 PECOS PAC ID: 7214311448 Enrollment ID: O20220907001133 |
Mailing Address | Practice Location Address |
---|---|
Alicia Ann Irvin, PHD 8243 S College Ave, Tulsa, OK 74137-1321 Ph: (918) 816-7597 | Alicia Ann Irvin, PHD 442104 E. 250 Rd, Vinita, OK 74301 Ph: (918) 256-7841 |
Dr. Curtis Todd Grundy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 North Industrial Rd, Vinita, OK 74301 Phone: 918-629-8664 Fax: 918-782-4301 | |
Dr. Scott Orth, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 24800 S 4420 Rd, Vinita, OK 74301 Phone: 918-713-5581 | |
Autumn Slaughter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24800 S 4420 Rd, Vinita, OK 74301 Phone: 918-256-7841 | |
Jacob Brewer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 | |
Dr. Elizabeth Mollette Grundy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 North Industrial Road, Vinita, OK 74301 Phone: 918-629-8664 Fax: 918-782-4301 | |
Dr. Peter Rausch, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 735 N. Foreman St., Vinita, OK 74301 Phone: 918-289-5249 Fax: 918-256-0397 |