Individual
DR. JOHNA KAY SMASAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4612 S HARVARD AVE, STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Mailing address
4612 S HARVARD AVE, STE A, TULSA, OK 74135-2908
(918) 747-5565
(918) 747-5568
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
1066
OK
103TC2200X
Clinical Child & Adolescent Psychologist
1066
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100190A
—
OK
Enumeration date
02/05/2007
Last updated
04/09/2015
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