| Dr.g, Psyd, Pllc | |
|
1985 W 33rd St Edmond OK 73013-3875 | |
| (405) 309-9051 | |
| Not Available |
| Full Name | Dr.g, Psyd, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1985 W 33rd St, Edmond, Oklahoma |
| Authorized Official Name and Position | Gricelda Fragoso (OWNER) |
| Authorized Official Contact | 4053099051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.g, Psyd, Pllc 1985 W 33rd St Edmond OK 73013-3875 Ph: () - | Dr.g, Psyd, Pllc 1985 W 33rd St Edmond OK 73013-3875 Ph: (405) 309-9051 |
| NPI Number | 1861895625 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861895625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1131 (Oklahoma) | Primary |
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