Provider Demographics
NPI:1356610604
Name:SEARD, JANICE BENITA (MS)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:BENITA
Last Name:SEARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:BENITA
Other - Last Name:SEARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:5817 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73121-3300
Mailing Address - Country:US
Mailing Address - Phone:405-921-6352
Mailing Address - Fax:
Practice Address - Street 1:4801 N CLASSEN BLVD STE 233
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4625
Practice Address - Country:US
Practice Address - Phone:405-242-5031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional