Fragoso, Gricelda

Fragoso, Gricelda is an sole proprietor health care provider with primary practice located at 1985 W 33Rd St Suite 110, Edmond OK 73013-3875. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fragoso, Gricelda can be contacted via phone (405) 309-9051.

Contact Information

Primary practice address
1985 W 33Rd St Suite 110 Edmond OK 73013-3875
Phone: (405) 309-9051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 21847 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1131 Oklahoma

Profile Details

NPI number 1689702540
LBN Legal business name Fragoso, Gricelda
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689702540 NPPES
California Other 10138 SAN DIEGO HHSA (EPSDT)

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