MEDICARE: CORE PSYCHOLOGY, LLC

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
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1477408813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE PSYCHOLOGY, LLC

Provider Business Mailing Address
First Line	:	2417 E 53RD ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6600
Country	:	US
Telephone Number	:	650-996-4691
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 E 53RD ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6600
Country	:	US
Telephone Number	:	650-996-4691
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JULIA CORE
Credential	:	LP
Telephone Number	:	650-996-4691

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “CORE PSYCHOLOGY, LLC ” Practice Location

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