Provider Demographics
NPI:1538897673
Name:RAMNATH, JENNY J
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:J
Last Name:RAMNATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:PAGUNTALAN
Other - Last Name:JOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8252 S HARVARD AVE STE 151
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1646
Mailing Address - Country:US
Mailing Address - Phone:918-924-5058
Mailing Address - Fax:
Practice Address - Street 1:8252 S HARVARD AVE STE 151
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1646
Practice Address - Country:US
Practice Address - Phone:918-924-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician