Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 586 | OK |
N | 103T00000X | Psychologist | 586 | OK |
N | 103G00000X | Clinical Psychologist | 586 | OK |
N | 103TC0700X | Clinical Psychologist | 586 | OK |
Y | 103TC1900X | Counseling Psychologist | 586 | OK |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 586 | OK |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | P2174 | TN |
N | 103TP2701X | Group Psychotherapist | 586 | OK |
N | 103TP2701X | Group Psychotherapist | P2174 | TN |
NPI | 1124129077 |
---|---|
Provider Name | Karen H. Lashley |
First Address | Tulsa, OK 74135-3060 |
Second Address | Tulsa, OK 74135-3060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200021970A | (05) | OK |
200021970B | (05) | OK |