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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578602801 | NPPES |
Oklahoma | MEDICAID | 200100190A |
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