Individual
JENNIFER OTOKA SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
591 E 36TH ST N, TULSA, OK 74106-1812
(918) 634-7980
(918) 634-7878
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 634-7980
(918) 634-7878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097140A
—
OK
Enumeration date
09/01/2006
Last updated
04/04/2017
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