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NPI Code Detail

MEDICARE: DR. EMILY M CHOQUETTE PHD

MEDICARE:  DR. EMILY M CHOQUETTE  PHD
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
1103TC0700XClinical Psychologist1450OK

General Provider Information

NPI Number : 1710707484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY M CHOQUETTE PHD
Provider Business Mailing Address
First Line : 4160 S ROCKFORD PL
Second Line :
City : TULSA
State : OK
Zip : 74105-4046
Country : US
Telephone Number : 301-233-5367
Fax Number :
Provider Business Practice Location Address
First Line : 4160 S ROCKFORD PL
Second Line :
City : TULSA
State : OK
Zip : 74105-4046
Country : US
Telephone Number : 301-233-5367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2024
Last Update Date : 10/16/2024

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Directions to “ DR. EMILY M CHOQUETTE PHD” Practice Location

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