Provider Demographics
NPI:1558688515
Name:SHELLEY, RHAMEKA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RHAMEKA
Middle Name:
Last Name:SHELLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 E 46TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2926
Mailing Address - Country:US
Mailing Address - Phone:918-591-5210
Mailing Address - Fax:918-591-2511
Practice Address - Street 1:3314 E 46TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2926
Practice Address - Country:US
Practice Address - Phone:918-591-5210
Practice Address - Fax:918-591-2511
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist