Individual
DR. JERI BAUCUM MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11309 BLUE SAGE RD, OKLAHOMA CITY, OK 73120-5302
(773) 428-5555
Mailing address
2304 W HEFNER RD UNIT 20116, OKLAHOMA CITY, OK 73156-4609
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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