Organization
BEHAVIORAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRUPA K HEGDE PHD (OWNER)
(918) 749-1840
Entity
Organization
Contact information
Practice address
3010 S HARVARD AVE STE 110, TULSA, OK 74114-6124
(918) 749-1840
(918) 749-1841
Mailing address
3010 S HARVARD AVE STE 110, TULSA, OK 74114-6124
(918) 749-1840
(918) 749-1841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1281
OK
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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