JONATHAN DANIEL TEDDER NPI 1750620621

NPI Information

Jonathan Daniel Tedder is a counselor in Blanchard, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jonathan Daniel Tedder NPI is 1750620621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

407 NE 17TH ST
BLANCHARD, OK
ZIP 73010-486
Phone: (405) 208-9219

The enumeration date for this NPI number is 2/12/2013 and was last updated on 2/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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