Individual
JENNIFER SHEADER WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12906 E 106TH ST N, OWASSO, OK 74055-5909
(918) 376-4552
(918) 376-4586
Mailing address
12906 E 106TH ST N, OWASSO, OK 74055-5909
(918) 376-4552
(918) 376-4586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1060
OK
Other
Enumeration date
04/22/2009
Last updated
04/30/2018
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