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NPI Code Detail

MEDICARE: RESONANCE CENTER FOR WOMEN, INC.

MEDICARE: RESONANCE CENTER FOR WOMEN, INC.
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
1251S00000XCommunity/Behavioral Health Agency2641OK

General Provider Information

NPI Number : 1366568602
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESONANCE CENTER FOR WOMEN, INC.
Provider Business Mailing Address
First Line : 1608 S ELWOOD AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4208
Country : US
Telephone Number : 918-587-3888
Fax Number :
Provider Business Practice Location Address
First Line : 1608 S ELWOOD AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4208
Country : US
Telephone Number : 918-587-3888
Fax Number :
Authorized Official
Title or Position : CLINICAL PROGRAM DIRECTOR
Name : MAE ANN SHEPHERD
Credential :
Telephone Number : 918-587-3888
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
1608 S ELWOOD AVE
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74119-4208
Practice Phone: 918-587-3888
Practice Fax:
1427917673 — SARAH HOLLAN
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1295872687 — KATHERINE ELAINE HENSHAW LPC, LADC
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1477751345 — MS. SANDI K FULTZ LPC
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Practice Fax: 918-587-3891
1518155704 — ELIZABETH ANNE PADAWER
Practice Location Address:
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TULSA, OK
74119-4208
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1548448608 — DR. PAMELA ANN VROOMAN PH.D.
Practice Location Address:
1608 S ELWOOD AVE
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74119-4208
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Practice Fax: 918-587-3891

Directions to “RESONANCE CENTER FOR WOMEN, INC. ” Practice Location

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