Provider Demographics
NPI:1245567502
Name:TOSHEVA, ANETA EMILOVA (MA)
Entity type:Individual
Prefix:MS
First Name:ANETA
Middle Name:EMILOVA
Last Name:TOSHEVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 E 51ST ST
Mailing Address - Street 2:STE 106
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-7457
Mailing Address - Country:US
Mailing Address - Phone:918-622-5156
Mailing Address - Fax:918-622-5298
Practice Address - Street 1:5151 E 51ST ST
Practice Address - Street 2:STE 106
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7457
Practice Address - Country:US
Practice Address - Phone:918-622-5156
Practice Address - Fax:918-622-5298
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist