| Jennifer Benton, Phd, Pllc | |
|
4815 S Harvard Ave Suite 470 Tulsa OK 74135-3055 | |
| (918) 392-4866 | |
| (918) 392-4867 |
| Full Name | Jennifer Benton, Phd, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4815 S Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jennifer M Benton (PSYCHOLOGIST) |
| Authorized Official Contact | 9183924866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Benton, Phd, Pllc 4815 S Harvard Ave Suite 470 Tulsa OK 74135-3055 Ph: (918) 392-4866 | Jennifer Benton, Phd, Pllc 4815 S Harvard Ave Suite 470 Tulsa OK 74135-3055 Ph: (918) 392-4866 |
| NPI Number | 1518211747 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518211747 | NPI | - | NPPES |
| 1609927219 | Other | OK | INDIVIDUAL NPI# -TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1057 (Oklahoma) | Primary |
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