Individual
DR. FRED M PATRIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 321-3499
(405) 364-5379
Mailing address
PO BOX 1729, NORMAN, OK 73070-1729
(405) 321-3499
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
584
OK
103T00000X
Psychologist
584
OK
103TC0700X
Clinical Psychologist
584
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00323812
RR MEDICARE
OK
Enumeration date
06/17/2006
Last updated
10/04/2007
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