Healthcare Provider Details

I. General information

NPI: 1295981454
Provider Name (Legal Business Name): JENNIFER MORRIS STEBER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LYNN MORRIS PH.D.

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 NW 39TH EXPY
BETHANY OK
73008-2513
US

IV. Provider business mailing address

6800 NW 39TH EXPY
BETHANY OK
73008-2513
US

V. Phone/Fax

Practice location:
  • Phone: 405-440-9866
  • Fax: 405-438-3834
Mailing address:
  • Phone: 405-440-9866
  • Fax: 405-438-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1099
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: