Individual
DR. GRICELDA FRAGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1985 W 33RD ST, SUITE 110, EDMOND, OK 73013-3875
(405) 309-9051
Mailing address
1985 W 33RD ST, SUITE 110, EDMOND, OK 73013-3875
(405) 309-9051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1131
OK
103TC0700X
Clinical Psychologist
21847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10138
SAN DIEGO HHSA (EPSDT)
CA
Enumeration date
03/01/2007
Last updated
07/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us