Healthcare Provider Details

I. General information

NPI: 1427116151
Provider Name (Legal Business Name): BRIGHTER FUTURES INC P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 S BOSTON AVE STE 311
TULSA OK
74119-1296
US

IV. Provider business mailing address

624 S BOSTON AVE STE 311
TULSA OK
74119-1296
US

V. Phone/Fax

Practice location:
  • Phone: 918-584-6694
  • Fax: 918-584-6229
Mailing address:
  • Phone: 918-584-6694
  • Fax: 918-584-6229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number662
License Number StateOK

VIII. Authorized Official

Name: DR. JERI LOUISE FRITZ
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 918-584-6694