Provider Demographics
NPI:1851431340
Name:TOMLINSON, RANDEE ROXANN (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:RANDEE
Middle Name:ROXANN
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:RANDEE
Other - Middle Name:ROXANN
Other - Last Name:PITTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2219 SHADOWRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7530
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2219 SHADOWRIDGE CT
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7530
Practice Address - Country:US
Practice Address - Phone:405-823-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK863106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist