Organization
JANET WILLIS, PH.D., PLLC
Active
Organization
JANET WILLIS, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET WILLIS RN, PH.D. (OWNER/RN/PSYCHOLOGIST)
(918) 640-2632
Entity
Organization
Contact information
Practice address
4815 S HARVARD AVE, SUITE 525, TULSA, OK 74135-3055
(918) 619-9060
(918) 289-0436
Mailing address
4815 S HARVARD AVE, SUITE 525, TULSA, OK 74135-3055
(918) 619-9060
(918) 289-0436
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
566
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10083921A
—
OK
Enumeration date
06/06/2016
Last updated
06/06/2016
Update your record
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