| Dr. Jaye Capretto, Llc | |
|
6202 S Lewis Ave Ste A Tulsa OK 74136-1064 | |
| (918) 949-4515 | |
| (918) 949-4523 |
| Full Name | Dr. Jaye Capretto, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 6202 S Lewis Ave Ste A, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jessica Jaye Capretto (MANAGER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9189494515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jaye Capretto, Llc 6202 S Lewis Ave Ste A Tulsa OK 74136-1064 Ph: (918) 949-4515 | Dr. Jaye Capretto, Llc 6202 S Lewis Ave Ste A Tulsa OK 74136-1064 Ph: (918) 949-4515 |
| NPI Number | 1174290225 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174290225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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