Brody, Jessica Mckennon

Brody, Jessica Mckennon is an individual health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brody, Jessica Mckennon can be contacted via phone (405) 456-4106.

Contact Information

Primary practice address
921 Ne 13Th St Oklahoma City OK 73104-5007
Phone: (405) 456-4106
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2985 Oklahoma
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1260 Oklahoma

Profile Details

NPI number 1538138839
LBN Legal business name Brody, Jessica Mckennon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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