Provider Demographics
NPI:1407865637
Name:MCGRAW, DEBORAH KATHLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:KATHLEEN
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5507 S LEWIS AVE
Mailing Address - Street 2:OPEN WORLD GARDEN OFFICES
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-7104
Mailing Address - Country:US
Mailing Address - Phone:918-744-0705
Mailing Address - Fax:918-744-8667
Practice Address - Street 1:5507 S LEWIS AVE
Practice Address - Street 2:OPEN WORLD GARDEN OFFICES
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-7104
Practice Address - Country:US
Practice Address - Phone:918-744-0705
Practice Address - Fax:918-744-8667
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK609103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical