Individual
TRACY R DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 579-2239
Mailing address
1600 ANN BRANDEN BLVD APT 322, NORMAN, OK 73071-1562
(405) 701-8127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1065
OK
Other
Enumeration date
04/12/2010
Last updated
06/07/2010
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