Jerome Latray Phillips, BS, BHRS - Psychologist in Oklahoma City, OK

Jerome Latray Phillips, BS, BHRS is a Psychologist - Rehabilitation based in Oklahoma City, Oklahoma. Jerome Latray Phillips is licensed to practice in Oklahoma (license number S082659956) and his current practice location is 5400 Willow Cliff Rd Apt 436, Oklahoma City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 789-0168.

NPI number for Jerome Latray Phillips is 1457634511 and his current mailing address is 5400 Willow Cliff Rd Apt 436, Oklahoma City, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457634511.

Contact Information

Jerome Latray Phillips, BS, BHRS
5400 Willow Cliff Rd Apt 436,
Oklahoma City, OK 73122-6341
(405) 789-0168
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJerome Latray Phillips
GenderMale
SpecialityPsychologist - Rehabilitation
Location5400 Willow Cliff Rd Apt 436, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457634511
  • Provider Enumeration Date: 09/26/2011
  • Last Update Date: 09/26/2011

Medical Identifiers

Medical identifiers for Jerome Latray Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457634511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation S082659956 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerome Latray Phillips is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerome Latray Phillips, BS, BHRS
5400 Willow Cliff Rd Apt 436,
Oklahoma City, OK 73122-6341

Ph: (405) 789-0168
Jerome Latray Phillips, BS, BHRS
5400 Willow Cliff Rd Apt 436,
Oklahoma City, OK 73122-6341

Ph: (405) 789-0168

Reviews and Comments


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