Individual
JENTRY DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
(918) 250-9976
Mailing address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3840
OK
Other
Enumeration date
04/19/2010
Last updated
01/12/2012
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