Provider Demographics
NPI:1922339506
Name:DEBELL, JAY L
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:L
Last Name:DEBELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-5655
Mailing Address - Country:US
Mailing Address - Phone:405-476-9785
Mailing Address - Fax:405-471-6845
Practice Address - Street 1:4400 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5104
Practice Address - Country:US
Practice Address - Phone:405-425-0372
Practice Address - Fax:405-425-0343
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health