Individual
DR. SHELBY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2912 E 75TH CT, TULSA, OK 74136-5640
(405) 640-7251
Mailing address
2912 E 75TH CT, TULSA, OK 74136-5640
(405) 640-7251
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1419
OK
103TC1900X
Counseling Psychologist
4873
NC
Other
Enumeration date
11/19/2015
Last updated
10/14/2022
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