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Contact Information

GLEN M BAISLEY, LPC
4830 S 67TH EAST AVE
TULSA, OK74145-5838
 Phone: 918-734-1399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for GLEN M BAISLEY · (Male)

NPI Number 1366800344
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 02/04/2016
Last updated 02/04/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 4835
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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