Peterson, Timothy Kent

Peterson, Timothy Kent is an individual health care provider with primary practice located at 6655 S Yale Ave Laureate Psychiatric Clinic And Hospital, Tulsa OK 74136-3326. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Peterson, Timothy Kent can be contacted via phone (918) 481-4000.

Contact Information

Primary practice address
6655 S Yale Ave Laureate Psychiatric Clinic And Hospital Tulsa OK 74136-3326
Phone: (918) 481-4000
Fax: (918) 491-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2899 Oklahoma
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 594 Oklahoma

Profile Details

NPI number 1114987534
LBN Legal business name Peterson, Timothy Kent
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jan 31st, 2017 - about 7 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 1114987534 NPPES
Other 2075927 CIGNA BEHAVIORAL HEALTH

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