Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103G00000X | Clinical Psychologist | 38247 | TX |
Y | 103TC0700X | Clinical Psychologist | 38247 | TX |
NPI | 1013140797 |
---|---|
Provider Name | Kasey Renee Claborn |
First Address | Tulsa, OK 74120-3820 |
Second Address | Tulsa, OK 74120-3820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2009 |
Last Update Date | 03/09/2020 |