Individual
JENNIFER M. BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
4520 S HARVARD AVE, SUITE 200, TULSA, OK 74135-2925
(918) 743-3224
Mailing address
4815 S HARVARD AVE, SUITE 470, TULSA, OK 74135-3055
(918) 392-4866
(918) 392-4867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1057
OK
Other
Enumeration date
01/12/2007
Last updated
11/09/2012
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