Healthcare Provider Details

I. General information

NPI: 1306216742
Provider Name (Legal Business Name): CHRISTOPHER JOHN KLEIN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6216 S LEWIS AVE STE 138
TULSA OK
74136-1084
US

IV. Provider business mailing address

6216 S LEWIS AVE STE 138
TULSA OK
74136-1084
US

V. Phone/Fax

Practice location:
  • Phone: 918-938-6926
  • Fax: 918-938-6971
Mailing address:
  • Phone: 918-938-6926
  • Fax: 918-938-6971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1242
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1242
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: