Individual
DR. TIMOTHY DALE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6846 S CANTON AVE, #501, TULSA, OK 74136-3412
(918) 745-0095
(918) 745-0190
Mailing address
6846 S CANTON AVE, #501, TULSA, OK 74136-3412
(918) 745-0095
(918) 745-0190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1118
OK
103TC1900X
Counseling Psychologist
1118
OK
103TF0200X
Forensic Psychologist
Primary
1118
OK
Other
Enumeration date
02/23/2010
Last updated
05/10/2011
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