Provider Demographics
NPI:1033271895
Name:EFFECTIVE TEACHING AND LEARNING INSTITUTE
Entity Type:Organization
Organization Name:EFFECTIVE TEACHING AND LEARNING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MASOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:MOAZAMI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD ABD, MS
Authorized Official - Phone:918-749-8717
Mailing Address - Street 1:1717 E SKELLY DR STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6067
Mailing Address - Country:US
Mailing Address - Phone:918-749-8717
Mailing Address - Fax:918-749-8797
Practice Address - Street 1:1717 E SKELLY DR STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6067
Practice Address - Country:US
Practice Address - Phone:918-749-8717
Practice Address - Fax:918-749-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty