Dr Gricelda Fragoso, PSYD | |
1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 | |
(405) 309-9051 | |
Not Available |
Full Name | Dr Gricelda Fragoso |
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Gender | Female |
Speciality | Clinical Psychologist |
Experience | 18 Years |
Location | 1985 W 33rd St, Edmond, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689702540 | NPI | - | NPPES |
10138 | Other | CA | SAN DIEGO HHSA (EPSDT) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 21847 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 1131 (Oklahoma) | Primary |
Entity Name | Gricelda Fragoso, Psy D, A Professional Psychology Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669012787 PECOS PAC ID: 8325463052 Enrollment ID: O20200729000567 |
Mailing Address | Practice Location Address |
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Dr Gricelda Fragoso, PSYD 1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 Ph: (405) 309-9051 | Dr Gricelda Fragoso, PSYD 1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 Ph: (405) 309-9051 |
Dr. Caleb Wayne Lack, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7413 Oak Ave, Edmond, OK 73034 Phone: 405-509-0959 | |
Dr. Tamara Trower, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14020 N Western Ave, Edmond, OK 73013 Phone: 405-822-7844 Fax: 405-493-6760 | |
Jose Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3225 Farmers Market Way, Edmond, OK 73034 Phone: 405-887-4620 | |
Mrs. Pm Markie Mccoy, DCSW LSW LMFT BCD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 W Simmons Rd, Edmond, OK 73034 Phone: 405-348-3655 Fax: 405-348-7208 | |
Maria Trapp, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 416 W 15th St, Building 500, Suite E, Edmond, OK 73013 Phone: 405-726-2745 Fax: 405-726-2746 | |
Priscilla Jacky, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1411 W Aries Rd, Edmond, OK 73003 Phone: 405-223-0457 | |
Miracle Nicole Goetz, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 Renaissance Blvd, Edmond, OK 73013 Phone: 405-850-8497 Fax: 405-300-0643 |