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DR. BRIAN A. BOATWRIGHT PSY.D.

Clinical Neuropsychologist

Tulsa, Oklahoma

Provider NPI: 1366722712

Provider Information:
DR. BRIAN A. BOATWRIGHT PSY.D.
Gender: M
Not Sole Proprietor

Practice Location:
8110 S YALE AVE  TULSA, OK 74137 US
Tel: 918-794-2003  Fax: 918-794-2010

Business Mailing Address:
8110 S YALE AVE  TULSA, OK 74137 US
Tel: 918-794-2003  Fax: 918-794-2010

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OK1144

Other Provider Identifiers:

IssuerNumberStateType
200463840AOK05
MEDICARE GROUP NPI129509141101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OK - Page 1



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