Provider Demographics
NPI:1376778308
Name:MCGAHA, VALERIE K (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:K
Last Name:MCGAHA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 E 88TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1129
Mailing Address - Country:US
Mailing Address - Phone:918-518-5342
Mailing Address - Fax:
Practice Address - Street 1:700 N GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-0702
Practice Address - Country:US
Practice Address - Phone:918-594-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10229101YA0400X
OK4174101YP2500X
TX61935101YP2500X
TX200947106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist