Individual
TAMEKO L COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 N CLASSEN BLVD STE 106, OKLAHOMA CITY, OK 73118-4822
(405) 835-6757
Mailing address
24 NW 155TH ST, EDMOND, OK 73013-2081
(405) 371-0479
(405) 938-0052
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
309345
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932546462
—
OK
Enumeration date
05/23/2013
Last updated
07/25/2024
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