Walton, Richarad Allyn
Walton, Richarad Allyn is an individual health care provider with primary practice located at 5110 S Yale Ave Suite 103, Tulsa OK 74135-7401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Walton, Richarad Allyn can be contacted via phone (918) 779-7637.Contact Information
Primary practice address
5110 S Yale Ave Suite 103
Tulsa OK 74135-7401
Phone: (918) 779-7637
Fax: (918) 938-6037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 508 | Oklahoma |
Profile Details
| NPI number | 1619904448 |
|---|---|
| LBN Legal business name | Walton, Richarad Allyn |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jun 28th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619904448 | NPPES |
| Oklahoma | MEDICAID | 100840000A |
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