Organization
JACK TRACY II, PH.D. PYSCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK FRANK TRACY II PH.D. (LICENSED PSYCHOLOGIST)
(405) 213-6130
Entity
Organization
Contact information
Practice address
1006 24TH AVE NW STE 100, NORMAN, OK 73069-6344
(405) 801-2836
Mailing address
1006 24TH AVE NW STE 100, NORMAN, OK 73069-6344
(405) 801-2836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1120
OK
Other
Enumeration date
01/28/2011
Last updated
02/09/2012
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