Individual
DR. PARKER T SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 904-0279
Mailing address
PO BOX 38, JENKS, OK 74037-0038
(918) 904-0279
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1320
OK
Other
Enumeration date
09/25/2018
Last updated
06/28/2023
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