Jackman, Elizabeth A

Jackman, Elizabeth A is an individual health care provider with primary practice located at 6655 S Yale Ave Laureate Psychiatric Clinic And Hospital, Tulsa OK 74136-3326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackman, Elizabeth A can be contacted via phone (918) 491-3762.

Contact Information

Primary practice address
6655 S Yale Ave Laureate Psychiatric Clinic And Hospital Tulsa OK 74136-3326
Fax: (918) 491-5740
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2140 Oklahoma

Profile Details

NPI number 1760451926
LBN Legal business name Jackman, Elizabeth A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jan 31st, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760451926 NPPES
Other 2238115 CIGNA BEHAVIORAL HEALTH

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