| Tulsa Professional Psychology, Pllc | |
|
3144 S Winston Ave Ste A Tulsa OK 74135-2012 | |
| (918) 878-8072 | |
| (918) 878-8072 |
| Full Name | Tulsa Professional Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3144 S Winston Ave Ste A, Tulsa, Oklahoma |
| Authorized Official Name and Position | Timothy Doty (CO-PRESIDENT) |
| Authorized Official Contact | 9188788072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Professional Psychology, Pllc 1745 S Canton Ave Tulsa OK 74112-6937 Ph: (918) 878-8072 | Tulsa Professional Psychology, Pllc 3144 S Winston Ave Ste A Tulsa OK 74135-2012 Ph: (918) 878-8072 |
| NPI Number | 1629569264 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Medicare PECOS PAC ID | 3971023094 |
|---|---|
| Medicare Enrollment ID | O20250219003820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629569264 | NPI | - | NPPES |
| 200460890B | Medicaid | OK | |
| 200466160A | Medicaid | OK |
| Provider Name | Erin Morgan Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174380950 PECOS PAC ID: 1759802986 Enrollment ID: I20250304003895 |
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