MEDICARE: DR. MARY ROSE ROLISON 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	967	OK

General Provider Information

NPI Number	:	1801031448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ROSE ROLISON PH.D.

Provider Business Mailing Address
First Line	:	10802 QUAIL PLAZA DR
Second Line	:	#203
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-3116
Country	:	US
Telephone Number	:	405-274-7211
Fax Number	:

Provider Business Practice Location Address
First Line	:	10802 QUAIL PLAZA DR
Second Line	:	#203
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-3116
Country	:	US
Telephone Number	:	405-274-7211
Fax Number	:

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

Provider Enumeration Date	:	12/11/2008
Last Update Date	:	08/22/2014

Similar Medicare Providers

1659504983 — MS. TARA LYNN BRANSTETTER M.S.
Practice Location Address:

3116 CENTER ST
OKLAHOMA CITY, OK
73120-2404

Practice Phone: 405-612-2448
Practice Fax: 405-720-9815

1043539323 — MS. VALORIE J WISE RN, CARN
Practice Location Address:

10802 QUAIL PLAZA DR , SUITE 108
OKLAHOMA CITY, OK
73120-3116

Practice Phone: 405-752-2787
Practice Fax: 405-752-5787

1770802936 — MRS. BARBARA ANN NEIL CADC
Practice Location Address:

10802 QUAIL PLAZA DR , SUITE 124
OKLAHOMA CITY, OK
73120-3116

Practice Phone: 405-474-6884
Practice Fax: 405-752-5787

1811527294 — DR. TARA ANN SCHNEIDER PHARM.D.
Practice Location Address:

3116 NW 21ST ST
OKLAHOMA CITY, OK
73107-3010

Practice Phone: 580-302-1611
Practice Fax:

1790414142 — NICOLE JOHNSON
Practice Location Address:

3116 SW 71ST ST
OKLAHOMA CITY, OK
73159-3612

Practice Phone: 405-205-2185
Practice Fax:

1336155357 — MRS. NINA PAULINE JOHNSON LCSW
Practice Location Address:

423 OKLAHOMA AVE
HEWITT, TX
76643-3116

Practice Phone: 254-666-2300
Practice Fax: 254-666-2300

Directions to “ DR. MARY ROSE ROLISON PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.