Individual
JEREMIAH RAY TITSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC, LPMT
Contact information
Practice address
2912 LAKESIDE DRIVE, SUITE 1, OKLAHOMA CITY, OK 73120
(405) 605-9464
Mailing address
2912 LAKESIDE DRIVE, SUITE 1, OKLAHOMA CITY, OK 73120
(405) 605-9464
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
66
OK
Other
Enumeration date
10/13/2009
Last updated
07/23/2025
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