Provider Demographics
NPI:1285640102
Name:HERRING, CHARINY MICHELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARINY
Middle Name:MICHELLE
Last Name:HERRING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8443 S TOLEDO AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1846
Mailing Address - Country:US
Mailing Address - Phone:918-361-4792
Mailing Address - Fax:918-471-2854
Practice Address - Street 1:2526 E 71ST ST STE J
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5576
Practice Address - Country:US
Practice Address - Phone:918-268-9578
Practice Address - Fax:918-471-2854
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK39552084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200001630AMedicaid
OK4058487711Medicare ID - Type Unspecified