Provider Demographics
NPI:1558698647
Name:GUFFY, JANE (BHRS)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:GUFFY
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N WALKER AVE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1619
Mailing Address - Country:US
Mailing Address - Phone:405-290-7542
Mailing Address - Fax:405-290-7576
Practice Address - Street 1:500 N WALKER AVE
Practice Address - Street 2:SUITE 190
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1619
Practice Address - Country:US
Practice Address - Phone:405-290-7542
Practice Address - Fax:405-290-7576
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health