| Janice L. Hendryx | |
|
3908 N Peniel Ave Suite 420 Bethany OK 73008-3458 | |
| (405) 603-3265 | |
| (405) 603-6624 |
| Full Name | Janice L. Hendryx |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3908 N Peniel Ave, Bethany, Oklahoma |
| Authorized Official Name and Position | Janice L Hendryx (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4055177612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice L. Hendryx 7244 Nw 129th St Oklahoma City OK 73142-2544 Ph: (405) 517-7612 | Janice L. Hendryx 3908 N Peniel Ave Suite 420 Bethany OK 73008-3458 Ph: (405) 603-3265 |
| NPI Number | 1003174608 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003174608 | NPI | - | NPPES |
| 200362380B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4205 (Oklahoma) | Primary |
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