Provider Demographics
NPI:1710707484
Name:CHOQUETTE, EMILY M (PHD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:M
Last Name:CHOQUETTE
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 1:4160 S ROCKFORD PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-4046
Mailing Address - Country:US
Mailing Address - Phone:301-233-5367
Mailing Address - Fax:
Practice Address - Street 1:4160 S ROCKFORD PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-4046
Practice Address - Country:US
Practice Address - Phone:301-233-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty