Individual
KATHERINE L GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 502-5041
(918) 502-5060
Mailing address
PO BOX 21228, DEPARTMENT 31, TULSA, OK 74121-1228
(918) 502-5041
(918) 502-5060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24339
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058480A
—
OK
01
—
2226324
CIGNA BEHAVIORAL HEALTH
—
01
—
7153715
AETNA BEHAVIORAL HEALTH
—
Enumeration date
01/23/2006
Last updated
01/31/2017
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