Diane C.Kirk, Psy.D, Pllc

LBN: Diane C.Kirk, Psy.D, Pllc
Diane C.Kirk, Psy.D, Pllc is an health care organization with primary practice located at 3010 S Harvard Ave Suite 110, Tulsa OK 74114-6124. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Diane C.Kirk, Psy.D, Pllc can be contacted via phone (302) 545-5353, or through Kirk, Diane C via phone (302) 545-5353.

Contact Information

Primary practice address
3010 S Harvard Ave Suite 110 Tulsa OK 74114-6124
Phone: (302) 545-5353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kirk, Diane C PSY.D.
Phone: (302) 545-5353

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1234 Oklahoma

Profile Details

NPI number 1992259535
LBN Legal business name Diane C.Kirk, Psy.D, Pllc
DBA Doing business as
Authorized official Kirk, Diane C PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2016
Last updated Aug 11th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992259535 NPPES
Oklahoma MEDICAID 200594670A

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