Individual
DR. MANJU KAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3015 E SKELLY DR, SUITE 135, TULSA, OK 74105-6317
(918) 712-2885
(918) 712-9019
Mailing address
3015 E SKELLY DR, SUITE 135, TULSA, OK 74105-6317
(918) 712-2885
(918) 712-9019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
857
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100838250A
—
OK
01
—
680013158
RR MEDICARE
—
Enumeration date
09/19/2005
Last updated
07/08/2007
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