Provider Demographics
NPI:1770609372
Name:GREENWOOD, JAMEE ALNETA (MASTERS DEGREE)
Entity type:Individual
Prefix:
First Name:JAMEE
Middle Name:ALNETA
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 LINWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-5022
Mailing Address - Country:US
Mailing Address - Phone:405-209-8400
Mailing Address - Fax:
Practice Address - Street 1:1418 LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-5022
Practice Address - Country:US
Practice Address - Phone:405-209-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5802101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5802OtherSTATE LICENSE