Provider Demographics
NPI:1023194909
Name:TOMLINSON, DENNIS ANDREW (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ANDREW
Last Name:TOMLINSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 E 103RD ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-5813
Mailing Address - Country:US
Mailing Address - Phone:918-299-5811
Mailing Address - Fax:918-299-5811
Practice Address - Street 1:4036 E 103RD ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-5813
Practice Address - Country:US
Practice Address - Phone:918-299-5811
Practice Address - Fax:918-299-5811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK722103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist