Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1245567502 |
---|---|
Provider Name | Ms. Aneta Emilova Tosheva |
First Address | Tulsa, OK 74135-7457 |
Second Address | Tulsa, OK 74135-7457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2009 |
Last Update Date | 06/11/2009 |