Individual
LISA HACKETT FETICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 SW OKLAHOMA AVE SIDE A, LAWTON, OK 73501-8021
(513) 237-3421
Mailing address
1323 SW OKLAHOMA AVE SIDE A, LAWTON, OK 73501-8021
(513) 237-3421
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OH
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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