| Gloria L. So-lloyd, Ph.d., P.c. | |
|
849 E 33rd St Edmond OK 73013-5407 | |
| (405) 888-5299 | |
| Not Available |
| Full Name | Gloria L. So-lloyd, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 849 E 33rd St, Edmond, Oklahoma |
| Authorized Official Name and Position | Gloria L So-lloyd (PRESIDENT) |
| Authorized Official Contact | 4058885299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria L. So-lloyd, Ph.d., P.c. 849 E 33rd St Edmond OK 73013-5407 Ph: (405) 888-5299 | Gloria L. So-lloyd, Ph.d., P.c. 849 E 33rd St Edmond OK 73013-5407 Ph: (405) 888-5299 |
| NPI Number | 1023274909 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 4486883907 |
|---|---|
| Medicare Enrollment ID | O20140204000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023274909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1007 (Oklahoma) | Primary |
| Provider Name | Gloria Lai-sum So-lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922036037 PECOS PAC ID: 5395974810 Enrollment ID: I20140204000209 |
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