Individual
DR. JENNY BENDURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4330 ADAMS RD STE 100, NORMAN, OK 73069-1007
(405) 701-8400
(405) 253-0490
Mailing address
4330 ADAMS RD STE 100, NORMAN, OK 73069-1007
(405) 701-8400
(405) 253-0490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1250
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13655858
CAQH
OK
05
—
200677510A
—
OK
01
—
549544
MEDICARE
OK
Enumeration date
06/09/2015
Last updated
03/27/2024
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