Bernadette Bouciquot

NPI 1841817368 · on the registry since 2020

Practice

Address: 6333 E Skelly Dr
Tulsa, OK 74135
Phone: (918) 664-4224
Organisation at this address: 12&12 Inc
12 And 12 Inc
Addiction Medical Specialists Llc
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 405

Registry record

Primary taxonomy: 163WA0400X
163WA0400X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-06-30

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