| Doctor Name: | BENJAMIN LEROY TOMAN |
| NPI Number: | 1043408727 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C |
| License Number: | 2676 |
| Business Practice Address: | 400 E Wyandotte Ave Mcalester, OK - 745015464 |
| Business Phone Number: | 9184205238 |
| Business Fax Number: | 9184205717 |
| Mailing Address: | Po Box 1444, MCALESTER |
| State: | OK |
| Postal Code: | 745021444 |
| Phone Number: | 9184205238 |
| Fax Number: | 9184205717 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |