Jennifer Benton, Phd, Pllc

LBN: Jennifer Benton, Phd, Pllc
Jennifer Benton, Phd, Pllc is an health care organization with primary practice located at 4815 S Harvard Ave Suite 470, Tulsa OK 74135-3055. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jennifer Benton, Phd, Pllc can be contacted via phone (918) 392-4866, or through Benton, Jennifer M via phone (918) 392-4866.

Contact Information

Primary practice address
4815 S Harvard Ave Suite 470 Tulsa OK 74135-3055
Phone: (918) 392-4866
Fax: (918) 392-4867
Website:
Map and Directions
Authorized official contact:
Name: Benton, Jennifer M PHD
Phone: (918) 392-4866

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1057 Oklahoma

Profile Details

NPI number 1518211747
LBN Legal business name Jennifer Benton, Phd, Pllc
DBA Doing business as
Authorized official Benton, Jennifer M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2012
Last updated Nov 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518211747 NPPES
Oklahoma Other 1609927219 INDIVIDUAL NPI# -TYPE I

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