Jennifer P Clark, PHD | |
620 Elm Ave, Norman, OK 73019-3142 | |
(405) 325-2700 | |
Not Available |
Full Name | Jennifer P Clark |
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Gender | Female |
Speciality | Counselor |
Location | 620 Elm Ave, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194855536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 1039 (Oklahoma) | Primary |
Entity Name | Jennifer Clark, Psy.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972817781 PECOS PAC ID: 1052566403 Enrollment ID: O20130309000075 |
Mailing Address | Practice Location Address |
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Jennifer P Clark, PHD 620 Elm Ave, Norman, OK 73019-3142 Ph: (405) 325-2700 | Jennifer P Clark, PHD 620 Elm Ave, Norman, OK 73019-3142 Ph: (405) 325-2700 |
Dr. Marshall Andrew Glenn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Gullane Dr, Norman, OK 73072 Phone: 405-249-4130 | |
Mrs. Chyla T Hall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste E, Norman, OK 73069 Phone: 405-329-3349 Fax: 405-329-6617 | |
Renee Thornton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw, Ste E, Norman, OK 73069 Phone: 405-329-8167 | |
Donita K Goodin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 E Tecumseh Rd, Norman, OK 73026 Phone: 405-464-9536 Fax: 405-321-3448 | |
Ms. Kimberlee Dawn Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 W Brooks St Apt 1, Norman, OK 73069 Phone: 405-982-8056 | |
Ashley Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Ferrill St, Norman, OK 73071 Phone: 580-583-3234 | |
Loretta Gail Post, CPRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Norman, OK 73071 Phone: 405-307-4836 |