JANE MARVA BRECKENRIDGE


Address: 112 N High St, Antlers, OK 74523-2250
Phone: 5802983001

JANE MARVA BRECKENRIDGE (NPI# 1942558796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942558796
Entity Type Individual
Full Name JANE MARVA BRECKENRIDGE
Practice Address 112 N High St
Antlers
OK 74523-2250
Practice Telephone 5802983001
Practice Fax Number 5802985357
Mailing Telephone 5802983001
Mailing Fax Number 5802985357
Enumeration Date 2012-08-28
Last Update Date 2012-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Office Location

Street Address 112 N HIGH ST
City ANTLERS
State OK
Zip Code 74523-2250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689085011 David Delker Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2014-05-20
1629488119 Kathy Brokar Counselor 112 N High St, Antlers, OK 74523-2250 2014-05-06
1043646060 George E Williamson Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-09-23
1083055933 Kathy L Pendergraft Counselor 112 N High St, Antlers, OK 74523-2250 2013-07-08
1245671106 Candace R Chaney Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-07-08
1164863015 Kathy Gardenhire Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-07-08
1386084143 Natalie Rochelle Cook Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-06-26
1225478134 Jennifer C Jacks Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-06-25
1740620640 Chantelle G Cowan Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-06-25
1184061913 Ayesha K Factory Behavioral Analyst 112 N High St, Antlers, OK 74523-2250 2013-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942793351 Terry Jean Draper Nurse Practitioner 416020 E 1951 Rd, Antlers, OK 74523 2018-06-11
1134628456 Breiana Jacobs Case Manager/Care Coordinator 107 South High St, Antlers, OK 74523 2018-02-02
1174072482 Crossroads 1010 LLC Community/Behavioral Health 193908 Us Hwy 271, Antlers, OK 74523 2016-09-27
1700277092 Katherine Jill Maple Registered Nurse 506 Hwy 271 North, Antlers, OK 74523 2015-02-09
1366884975 Jessica L. Rowan Speech-Language Pathologist 426297 State Highway 3, Antlers, OK 74523 2013-07-24
1235432444 Charis Kay Griffin Psychologist 903 West Main St., Antlers, OK 74523 2010-12-09
1629213889 Hometown Quality Care, Inc Home Health 191475 N 4140 Rd Ste 3, Antlers, OK 74523 2008-12-02
1841491214 Zen Gee Counseling & Psychological Serv LLC Community/Behavioral Health 608 Highway 271 North, Antlers, OK 74523 2007-05-31
1376689422 Marcia Leigh Armstrong Counselor 608 Hwy 271 North, Antlers, OK 74523 2007-01-29
1831247691 Chance J Lawless Dentist 412 N Hwy 271, Antlers, OK 74523 2007-01-08
Find all providers in zip 74523

Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831449727 Pattie Parks Psychologist 106 1/2 Se 2nd, Antlers, OK 74523-0000 2012-09-18
1962750679 Ladonna Wallace Psychologist 106 1/2 Se 2nd Street, Antlers, OK 74523-0000 2012-08-28
1780932509 Terinia Noel Psychologist 1061/2 South East 2nd Street, Antlers, OK 74523-0000 2012-08-28
1124374194 Geni A Hutchings Psychologist 106 1/2 S.e. 2nd, Antlers, OK 74523-0000 2012-07-27
1235432444 Charis Kay Griffin Psychologist 903 West Main St., Antlers, OK 74523 2010-12-09
1164851614 Sidney Deupree Psychologist 217 N High St, Antlers, OK 74523-2237 2013-11-05
1982046744 Rebecca Barnes Psychologist 106 1/2 Se 2nd, Antlers, OK 74523 2013-07-22
1144562265 Kristi J Graham Psychologist 112 N High St, Antlers, OK 74523-2250 2013-03-27
1225373194 Jenice Jones Psychologist 112 N High St, Antlers, OK 74523-2250 2012-12-04
1942545009 Bernita Ellen Taylor Psychologist 112 N High St, Antlers, OK 74523-2250 2012-11-30
Find all providers in ANTLERS

Competitor

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City ANTLERS
Zip Code 74523

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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