Individual
MELISSA LEA COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 491-3702
(918) 491-5740
Mailing address
PO BOX 21228, DEPARTMENT 31, TULSA, OK 74121-1228
(918) 491-3702
(918) 491-5740
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0037482
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124810A
—
OK
01
—
2014553
CIGNA BEHAVIORAL HEALTH
—
Enumeration date
01/31/2006
Last updated
01/31/2017
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