NPI 1407229966 · live from the CMS NPI Registry
Spenser Bolte
Marriage & Family Therapist in Tulsa, OK. National Provider Identifier 1407229966, active.
NPI record
| NPI | 1407229966 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 907 S Detroit Ave, Suite 1140, Tulsa, OK 74120 |
| Practice phone | 870-577-9392 |
| Mailing address | 4050 N Wooded Hollow Dr, Fayetteville, AR 72704 |
| Enumerated | November 5, 2015 |
| Last updated | November 5, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.