Healthcare Provider Details

I. General information

NPI: 1902384308
Provider Name (Legal Business Name): SARAH KAY GOLDMAN M ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KAY TURPIN

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7633 E 63RD PL STE 300
TULSA OK
74133-1202
US

IV. Provider business mailing address

22411 S 337TH WEST AVE
BRISTOW OK
74010-2259
US

V. Phone/Fax

Practice location:
  • Phone: 405-754-4726
  • Fax:
Mailing address:
  • Phone: 539-432-9835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-52454
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number10227
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: