Healthcare Provider Details

I. General information

NPI: 1619802139
Provider Name (Legal Business Name): BRITTANY RYANNE POPE BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 S. HARVARD AVE.
TULSA OK
74114
US

IV. Provider business mailing address

13104 E 16TH ST APT B
TULSA OK
74108-5322
US

V. Phone/Fax

Practice location:
  • Phone: 918-891-2595
  • Fax:
Mailing address:
  • Phone: 918-752-7912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: