Individual
DR. HEATHER DAWN GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6646 S INDIANAPOLIS AVE, TULSA, OK 74136-2605
(918) 260-2895
Mailing address
6646 S INDIANAPOLIS AVE, TULSA, OK 74136-2605
(918) 260-2895
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1226
OK
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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