Individual
DR. TYLER R SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 660-3132
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1373
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200952840A
—
OK
Enumeration date
07/10/2014
Last updated
11/19/2024
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