Boatwright, Brian A.

Boatwright, Brian A. is an individual health care provider with primary practice located at 8110 S Yale Ave , Tulsa OK 74137-2210. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Boatwright, Brian A. can be contacted via phone (918) 794-2003.

Contact Information

Primary practice address
8110 S Yale Ave Tulsa OK 74137-2210
Phone: (918) 794-2003
Fax: (918) 794-2010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1144 Oklahoma

Profile Details

NPI number 1366722712
LBN Legal business name Boatwright, Brian A.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Apr 26th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366722712 NPPES
Other 1295091411 MEDICARE GROUP NPI
MEDICAID 200463840A MEDICARE GROUP NPI

Popular Providers