Emily Peterson

NPI 1619403375 · on the registry since 2017

Practice

Address: 3223 E 31st St
Tulsa, OK 74105
Phone: (918) 250-7093
Fax: (918) 250-9976
Organisation at this address: Donna Vandall, Inc.
Minor W Gordon Ph D Pc
Therapysource For Kids, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: 133V00000X
133V00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma