Individual
JILL KATHERINE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
1808 COMMONS CIR, YUKON, OK 73099-9518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
089193
IA
Other
Enumeration date
05/16/2018
Last updated
08/13/2021
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