Richarad Allyn Walton in Tulsa - Clinical Child & Adolescent

Richarad Allyn Walton - NPI 1619904448

Richarad Allyn Walton is a Clinical Child & Adolescent in Tulsa, Oklahoma. Richarad Allyn Walton practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Richarad Allyn Walton is 1619904448. The last update date is 2008-06-28.

Richarad Allyn Walton's current location address is 5110 S Yale Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187797637 and fax number 9189386037. The mailing address for Richarad Allyn Walton is 5110 S Yale Ave, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Richarad Allyn Walton
Address 5110 S Yale Ave, Tulsa, Oklahoma
Phone Number 9187797637
Fax Number 9189386037
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1619904448
Provider Enumeration Date 2006-06-27
Last Updated Date 2008-06-28

Provider Mailing Address Detail

Address 5110 S Yale Ave
City Tulsa
State Oklahoma (OK)
Post Code 741357401
Phone Number 9187797637
Fax Number 9189386037

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 508
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
100840000A OK --

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FAQs about Richarad Allyn Walton

What is the unique provider identifier assigned to Richarad Allyn Walton?

The Richarad Allyn Walton has been issued the NPI (National Provider Identifier) 1619904448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Richarad Allyn Walton is physically located?

The Richarad Allyn Walton is physically situated at the following address: 5110 S Yale Ave, Tulsa, OK, 741357401.

What is Richarad Allyn Walton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richarad Allyn Walton is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.

On what date did the Richarad Allyn Walton receive the assignment of its 1619904448 from the Centers for Medicare & Medicaid Services?

The Richarad Allyn Walton was issued its 1619904448 by the Centers for Medicare & Medicaid Services on 2006-06-27.

When was the information regarding Richarad Allyn Walton most recently updated?

The details pertaining to the Richarad Allyn Walton, including its address, specialty, and other relevant information, were last refreshed on 2008-06-28.

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