Provider Demographics
NPI:1619222999
Name:LANCASTER, JENNIFER MORGAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MORGAN
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S CLASSEN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-5403
Mailing Address - Country:US
Mailing Address - Phone:405-735-6333
Mailing Address - Fax:
Practice Address - Street 1:604 S CLASSEN AVE STE A
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5403
Practice Address - Country:US
Practice Address - Phone:405-735-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist