MEDICARE: COUNSELING PSYCHOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1972465714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING PSYCHOLOGY

Provider Business Mailing Address
First Line	:	2145 E 23RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74114-2905
Country	:	US
Telephone Number	:	918-706-2636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2145 E 23RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74114-2905
Country	:	US
Telephone Number	:	918-706-2636
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARK SADLER
Credential	:	PH.D.
Telephone Number	:	918-691-7673

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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