Unknown Individual – Psychologist, NPI 1457394579
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Boardwalk Offices, 5272, South Lewis Avenue, Lewis Crest, Tulsa, Tulsa County, Oklahoma, 74105, United States
250
TULSA, OK 741056544
Phone: (918) 524-3300
Fax: (918) 524-3302
Type: Mailing
South Lewis Avenue East, Kendall-Whittier, Tulsa, Oklahoma, 74104, United States
TULSA, OK 74105
Phone: (918) 524-3300
Fax: (918) 524-3302
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74105)
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