Jennifer Renee Potter in Moore - Clinical
Jennifer Renee Potter - NPI 1558517649
Jennifer Renee Potter is a Clinical in Moore, Oklahoma. Jennifer Renee Potter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Renee Potter is 1558517649. The last update date is 2011-08-11.
Jennifer Renee Potter's current location address is 1025 Renita Ct, Moore, Oklahoma. You can contact this provider via phone number 4058375841. The mailing address for Jennifer Renee Potter is 1025 Renita Ct, Moore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Renee Potter |
|---|---|
| Address | 1025 Renita Ct, Moore, Oklahoma |
| Phone Number | 4058375841 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1558517649 |
|---|---|
| Provider Enumeration Date | 2008-08-08 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | 1025 Renita Ct |
|---|---|
| City | Moore |
| State | Oklahoma (OK) |
| Post Code | 731608702 |
| Phone Number | 4058375841 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1101 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200226900A | OK | -- |
Post Comment/ Review Below
What is the Jennifer Renee Potter's 1558517649?
The Jennifer Renee Potter's NPI (National Provider Identifier) Number is 1558517649. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer Renee Potter is located?
The Jennifer Renee Potter is situated at the following address: 1025 Renita Ct, Moore, OK, 731608702.
What is the Jennifer Renee Potter's specialty and taxonomy code?
The Jennifer Renee Potter's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1558517649 assigned to Jennifer Renee Potter?
The Jennifer Renee Potter was issued its 1558517649 on 2008-08-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jennifer Renee Potter's details last updated?
The information pertaining to the Jennifer Renee Potter, including its address, specialty, and other details, was most recently updated on 2011-08-11.
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