# TULSA CENTER FOR CHILD PSYCHOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568632776
- **Authorized official:** RICHARD WALTON PHD (OWNER)
- **Authorized official phone:** (918) 779-7637

## Contact information

- **Practice address:** 5110 S YALE AVE, STE 103, TULSA, OK 74135-7401
- **Practice address phone:** (918) 779-7637
- **Mailing address:** 6966 S UTICA AVE, STE 225, TULSA, OK 74136-3903
- **Mailing address phone:** (918) 492-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 508 | OK | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 06/20/2008