Individual
CRYSTAL BOWLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(918) 499-4855
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY23856
PROFESSIONAL LICENSE
CA
Enumeration date
04/01/2013
Last updated
12/13/2024
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