Lara Mae Mattox, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1022 Issued in OK

Practice address

3015 East Skelly Drive
Suite 305
Tulsa, OK 74105-6317

Phone

(918) 392-4866

Fax

(918) 392-4867

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1073626545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 EAST SKELLY DRIVE",
            "address_2": "SUITE 305",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-392-4866",
            "fax_number": "918-392-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 EAST SKELLY DRIVE",
            "address_2": "SUITE 305",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-392-4866",
            "fax_number": "918-392-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "LARA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "06-09P",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet C Matthews, D.O.
• Sarah Lorraine Matthews, CPO,LPO
• Sarah Morgan Matthews
• Stephen Paul Mattica
• Claire Lukeman Mattocks, D.O.
• Mattyg LLC
• Jeffry Leonel Matute Espinal, MD
• Kacey Cheyenne Matza, PRSS
• Theodore Mauck, DPH
• Patsy Maudlin

• Clinical Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.