Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerome Latray Phillips, BS, BHRS

Individual provider Rehabilitation Psychologist · NPI 1457634511

Jerome Latray Phillips, BS, BHRS is a Rehabilitation Psychologist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

5400 Willow Cliff Rd Apt 436
Oklahoma City, OK 73122-6341
Phone: (405) 789-0168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X · Licence S082659956 (OK)

Record details

NPI number1457634511
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , BHRS
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESSeptember 26, 2011

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