MEDICARE: DR. REBECCA OAKES PH.D.

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	103T00000X	Psychologist	017517-1	NY

General Provider Information

NPI Number	:	1639307523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA OAKES PH.D.

Provider Business Mailing Address
First Line	:	505 COURT ST APT 6P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3952
Country	:	US
Telephone Number	:	347-683-6141
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 COURT ST APT 6P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3952
Country	:	US
Telephone Number	:	347-683-6141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	06/30/2009

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