Organization
BART TRENTHAM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARTON JAY TRENTHAM PH.D (SOLE OWNER)
(918) 628-7277
Entity
Organization
Contact information
Practice address
4870 S LEWIS AVE -180 TULS., TULSA, OK 74105
(918) 628-7277
(918) 742-7677
Mailing address
4870 S LEWIS AVE -180, TULSA, OK 74105
(918) 628-7277
(918) 742-7677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
763
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100667880A
—
OK
05
—
100840760D
—
OK
Enumeration date
03/01/2010
Last updated
03/01/2010
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