Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1407164627 |
---|---|
Provider Name | Sharilyn Rogers Tomlin |
First Address | Eufaula, OK 74432-2015 |
Second Address | Mcalester, OK 74501-5363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2010 |
Last Update Date | 22/09/2010 |