Smasal, Johna Kay

Smasal, Johna Kay is an sole proprietor health care provider with primary practice located at 4612 S Harvard Ave Ste A, Tulsa OK 74135-2908. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smasal, Johna Kay can be contacted via phone (918) 747-5565.

Contact Information

Primary practice address
4612 S Harvard Ave Ste A Tulsa OK 74135-2908
Phone: (918) 747-5565
Fax: (918) 747-5568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1066 Oklahoma
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1066 Oklahoma

Profile Details

NPI number 1578602801
LBN Legal business name Smasal, Johna Kay
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Apr 9th, 2015 - about 9 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 1578602801 NPPES
Oklahoma MEDICAID 200100190A

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