Organization
TULSA CENTER FOR CHILD PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WALTON PHD (OWNER)
(918) 779-7637
Entity
Organization
Contact information
Practice address
5110 S YALE AVE, STE 103, TULSA, OK 74135-7401
(918) 779-7637
Mailing address
6966 S UTICA AVE, STE 225, TULSA, OK 74136-3903
(918) 492-6333
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
508
OK
Other
Enumeration date
03/04/2008
Last updated
06/20/2008
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