Provider Demographics
NPI:1669406583
Name:FURLONG, CATHY L (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHY
Middle Name:L
Last Name:FURLONG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 S LEWIS AVE
Mailing Address - Street 2:SUITE #190
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5151
Mailing Address - Country:US
Mailing Address - Phone:918-628-7277
Mailing Address - Fax:918-742-7677
Practice Address - Street 1:4870 S LEWIS AVE
Practice Address - Street 2:SUITE #190
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5151
Practice Address - Country:US
Practice Address - Phone:918-628-7277
Practice Address - Fax:918-742-7677
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK760103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical