Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY SELANDERS JR.
Active Sole ProprietorJIMMY SELANDERS JR. is a Mental Health Clinic healthcare provider located in GROVE, Oklahoma. NPI 1265821102 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · GROVE, OK
Registration Details
- NPI Number
- 1265821102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2015 (11.623421134203 yrs)
- Last Updated
- Jan 15, 2015
- License
-
200129910A (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32300 S 625 RDGROVE, OK, 743446285Browse OK providers · Browse ZIP 74344
- Phone
- 9187862930
- Fax
- 9187865985
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.