Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1206 | OK |
Y | 103T00000X | Psychologist | 1206 | OK |
NPI | 1003244930 |
---|---|
Provider Name | Dr. Tamara Trower |
First Address | Edmond, OK 73013-1977 |
Second Address | Edmond, OK 73013-1977 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2013 |
Last Update Date | 13/10/2021 |