| Theresa Wallis, | |
|
201 N Broadway Ave, Shawnee, OK 74801-6917 | |
| (580) 748-0342 | |
| (405) 386-3213 |
| Full Name | Theresa Wallis |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Rehabilitation |
| Location | 201 N Broadway Ave, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639509862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Wallis, 10800 Eastway, Mcloud, OK 74851-8566 Ph: (580) 748-0342 | Theresa Wallis, 201 N Broadway Ave, Shawnee, OK 74801-6917 Ph: (580) 748-0342 |
Dr. Ken D Bond Jr., PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1127 N Kickapoo Ave, Shawnee, OK 74801 Phone: 405-214-0116 Fax: 877-334-8552 | |
Keeley D Mitchell, M. ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-273-6794 Fax: 405-878-1037 | |
Jill Dunn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-273-6794 | |
Karen Anne Hynes, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 504 N Broadway Ave, Shawnee, OK 74801 Phone: 405-275-1844 | |
Dr. Sue Elizabeth Stone, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2307 S Gordon Cooper Dr, Citizen Potawatomi Nation Health Services, Shawnee, OK 74801 Phone: 405-273-5236 Fax: 405-878-4690 | |
Dr. Latisha Lynn Bader, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2307 S Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-273-5236 Fax: 405-273-4345 |