Mr Jack Frank Tracy Ii, PHD | |
1006 24th Ave Nw Ste 100, Norman, OK 73069-6344 | |
(405) 801-2836 | |
(405) 801-2846 |
Full Name | Mr Jack Frank Tracy Ii |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 15 Years |
Location | 1006 24th Ave Nw Ste 100, Norman, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609089655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3829 (Oklahoma) | Primary |
103T00000X | Psychologist | 1120 (Oklahoma) | Secondary |
Entity Name | Jack Tracy Ii, Ph.d. Psychological Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657165 PECOS PAC ID: 8022284579 Enrollment ID: O20120104000556 |
Mailing Address | Practice Location Address |
---|---|
Mr Jack Frank Tracy Ii, PHD 1006 24th Ave Nw Ste 100, Norman, OK 73069-6344 Ph: (405) 801-2836 | Mr Jack Frank Tracy Ii, PHD 1006 24th Ave Nw Ste 100, Norman, OK 73069-6344 Ph: (405) 801-2836 |
Dr. Marshall Andrew Glenn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Gullane Dr, Norman, OK 73072 Phone: 405-249-4130 | |
Mrs. Chyla T Hall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste E, Norman, OK 73069 Phone: 405-329-3349 Fax: 405-329-6617 | |
Renee Thornton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw, Ste E, Norman, OK 73069 Phone: 405-329-8167 | |
Donita K Goodin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 E Tecumseh Rd, Norman, OK 73026 Phone: 405-464-9536 Fax: 405-321-3448 | |
Ms. Kimberlee Dawn Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 W Brooks St Apt 1, Norman, OK 73069 Phone: 405-982-8056 | |
Ashley Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Ferrill St, Norman, OK 73071 Phone: 580-583-3234 | |
Loretta Gail Post, CPRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Norman, OK 73071 Phone: 405-307-4836 |