| Sonya L Cornwell Phd Clinical Psychologist Pllc | |
|
310 W Keetoowah St Tahlequah OK 74464-3824 | |
| (918) 708-9558 | |
| (918) 708-9580 |
| Full Name | Sonya L Cornwell Phd Clinical Psychologist Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 310 W Keetoowah St, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Sonya L Cornwell (PHD AND OWNER) |
| Authorized Official Contact | 9187089558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonya L Cornwell Phd Clinical Psychologist Pllc 310 W Keetoowah St Tahlequah OK 74464-3824 Ph: (918) 708-9558 | Sonya L Cornwell Phd Clinical Psychologist Pllc 310 W Keetoowah St Tahlequah OK 74464-3824 Ph: (918) 708-9558 |
| NPI Number | 1417508904 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 8729410048 |
|---|---|
| Medicare Enrollment ID | O20191107000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417508904 | NPI | - | NPPES |
| Provider Name | Sonya Lynn Cornwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194216374 PECOS PAC ID: 8022363514 Enrollment ID: I20180625002893 |
| Provider Name | Lindsay K Crouch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457014664 PECOS PAC ID: 2668860818 Enrollment ID: I20211021000621 |
| Provider Name | M Marget Wincent |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437264397 PECOS PAC ID: 9032507934 Enrollment ID: I20211026002174 |
| Provider Name | Shelby Starks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780160952 PECOS PAC ID: 5496145880 Enrollment ID: I20211129000539 |
| Provider Name | Elizabeth A Melles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528748993 PECOS PAC ID: 8628432929 Enrollment ID: I20230919002304 |
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