Dr. Janet Gayle Willis
Cognitive & Behavioral Psychologist
4815 S Harvard Ave Suite 525
Tulsa
, Oklahoma 74135-3055
Dr. Janet Gayle Willis
Cognitive & Behavioral Psychologist
4815 S Harvard Ave Suite 525
Tulsa
, Oklahoma 74135-3055
(918) 289-0436
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Dr. Janet Gayle Willis
- 4815 S Harvard Ave Suite 525
- Tulsa, OK
- Zip : 74135-3055
- Fax : (918) 289-0436
- Phone : (918) 619-9060
Second Address
- Dr. Janet Gayle Willis
- 4815 S Harvard Ave Suite 525
- Tulsa, OK
- Zip : 74135-3055
- Fax : (918) 289-0436
- Phone : (918) 619-9060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 566 | OK |
National Provider Identifier
| NPI | 1053331280 |
|---|---|
| Provider Name | Dr. Janet Gayle Willis |
| First Address | Tulsa, OK 74135-3055 |
| Second Address | Tulsa, OK 74135-3055 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 06/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100839210B | (05) | OK |
| 10083921A | (05) | OK |
| 243504204,246735401 | (02) | OK |
| 600522417 | MEDICARE PTAN (01) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.