| Doctor Name: | JAYME ELIZABETH BURNETT-GREEN |
| NPI Number: | 1033550520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CBHCM II, CPRSS |
| License Number: | |
| Business Practice Address: | 207 N Taylor Ave Wynnewood, OK - 730984626 |
| Business Phone Number: | 4052070132 |
| Business Fax Number: | 4052515017 |
| Mailing Address: | 207 N Taylor Ave, WYNNEWOOD |
| State: | OK |
| Postal Code: | 730984626 |
| Phone Number: | 4052070132 |
| Fax Number: | 4052515017 |
| NPI Enumeration Date: | 07/11/2013 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |