Conger, Alan Lee

Conger, Alan Lee is an individual health care provider with primary practice located at 5512 S Lewis Ave , Tulsa OK 74105-7140. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Conger, Alan Lee can be contacted via phone (918) 747-1600.

Contact Information

Primary practice address
5512 S Lewis Ave Tulsa OK 74105-7140
Phone: (918) 747-1600
Fax: (918) 749-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 395 Oklahoma

Profile Details

NPI number 1770509747
LBN Legal business name Conger, Alan Lee
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 5th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770509747 NPPES
Oklahoma MEDICAID 100840740A

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