Johna Kay Smasal in Tulsa - Clinical Child & Adolescent
Johna Kay Smasal - NPI 1578602801
Johna Kay Smasal is a Clinical Child & Adolescent in Tulsa, Oklahoma. Johna Kay Smasal practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Johna Kay Smasal is 1578602801. The last update date is 2015-04-09.
Johna Kay Smasal's current location address is 4612 S Harvard Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187475565 and fax number 9187475568. The mailing address for Johna Kay Smasal is 4612 S Harvard Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johna Kay Smasal |
|---|---|
| Address | 4612 S Harvard Ave, Tulsa, Oklahoma |
| Phone Number | 9187475565 |
| Fax Number | 9187475568 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578602801 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2015-04-09 |
Provider Mailing Address Detail
| Address | 4612 S Harvard Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741352908 |
| Phone Number | 9187475565 |
| Fax Number | 9187475568 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1066 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200100190A | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Johna Kay Smasal?
The Johna Kay Smasal has been issued the NPI (National Provider Identifier) 1578602801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Johna Kay Smasal is physically located?
The Johna Kay Smasal is situated at the following address: 4612 S Harvard Ave, Tulsa, OK 741352908.
What is Johna Kay Smasal's specialized field of practice, and what is the corresponding taxonomy classification code?
The Johna Kay Smasal's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Johna Kay Smasal receive its 1578602801 assignment from the Centers for Medicare & Medicaid Services?
The Johna Kay Smasal was assigned its 1578602801 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details related to Johna Kay Smasal most recently updated or revised?
The information pertaining to Johna Kay Smasal, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-09.
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