Individual
ASHLEY BARRY-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15111 E 35TH ST, TULSA, OK 74134-4844
(323) 974-3693
Mailing address
15111 E 35TH ST, TULSA, OK 74134-4844
(323) 974-3693
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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