Organization
TULSA PROFESSIONAL PSYCHOLOGY, PLLC
Active
Other names
Green Country Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DOTY PSY.D. (CO-PRESIDENT)
(918) 878-8072
Entity
Organization
Contact information
Practice address
3144 S WINSTON AVE STE A, TULSA, OK 74135-2012
(918) 878-8072
(918) 878-8072
Mailing address
1745 S CANTON AVE, TULSA, OK 74112-6937
(918) 878-8072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1118
OK
103TC0700X
Clinical Psychologist
1225
OK
103TF0200X
Forensic Psychologist
1118
OK
103TH0100X
Health Service Psychologist
Primary
1118
OK
103TH0100X
Health Service Psychologist
1225
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200460890B
—
OK
05
—
200466160A
—
OK
Enumeration date
05/18/2018
Last updated
05/18/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us