Healthcare Provider Details

I. General information

NPI: 1942406905
Provider Name (Legal Business Name): ROBYN F VROOME MA MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 S HARVARD AVE SUITE 100
TULSA OK
74135-2619
US

IV. Provider business mailing address

209 E VICKSBURG ST
BROKEN ARROW OK
74011-3808
US

V. Phone/Fax

Practice location:
  • Phone: 918-584-7500
  • Fax:
Mailing address:
  • Phone: 918-449-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: