Individual
TRACEY BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4627
(405) 417-8459
Mailing address
2316 TOWERS CT, OKLAHOMA CITY, OK 73111-1652
(405) 424-4290
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
081340659
OK
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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