SearchOklahoma251S00000X

Aisha Bereal

NPI 1992049001 · on the registry since 2012 · sole proprietor

Practice

Address
5555 S Lewis Ave
Tulsa, OK 74105
Phone
(918) 779-4556
Organisation at this address
Family And Youth Intervention Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-15

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