Organization
RED DIRT MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY BENDURE PH.D. (HEALTH SERVICE PSYCHOLOGIST)
(405) 370-9614
Entity
Organization
Contact information
Practice address
4330 ADAMS RD STE 100, NORMAN, OK 73069-1007
(405) 704-8400
(405) 253-0490
Mailing address
4330 ADAMS RD STE 100, NORMAN, OK 73069-1007
(405) 704-8400
(405) 253-0490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1250
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200677510A
—
OK
Enumeration date
12/02/2016
Last updated
03/27/2024
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