Most Relevant Information
Provider Data
| NPI Number: | 1003035817 |
| Provider Name: | PAUL A MAYBERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
4444 E 31ST ST
TULSA
OK
741352131
Practice Location Phone/Fax
| Phone: | 9187477373 |
| Fax: | 9187470197 |
Provider Mailing Location
4444 E 31ST ST
TULSA
OK
741352131
Provider Mailing Phone/Fax
| Phone: | 9187477373 |
| Fax: | 9187470197 |