Provider Demographics
NPI:1205806478
Name:FORBES, STEPHANIE JO (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:JO
Last Name:FORBES
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4612 S HARVARD AVE
Mailing Address - Street 2:STE A
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2908
Mailing Address - Country:US
Mailing Address - Phone:918-747-5565
Mailing Address - Fax:918-747-5568
Practice Address - Street 1:4612 S HARVARD AVE
Practice Address - Street 2:STE A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2908
Practice Address - Country:US
Practice Address - Phone:918-747-5565
Practice Address - Fax:918-747-5568
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-03-02
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Provider Licenses
StateLicense IDTaxonomies
OK34032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
7268075OtherAETNA BEHAVIORAL HEALTH
2028064OtherCIGNA BEHAVIORAL HEALTH
OK100110530AMedicaid
7268075OtherAETNA BEHAVIORAL HEALTH