Jack Tracy Ii, Ph.d. Pyschological Services, Pllc

NPI #1457657165 in Norman, Oklahoma

Provider Information

NPI Number: 1457657165
Entity Type: Organization
Organization Name: Jack Tracy Ii, Ph.d. Pyschological Services, Pllc
Primary Specialty: Psychologist
Enumeration Date: Jan 28, 2011
Last Updated: Feb 9, 2012

Practice Location

Address: 1006 24TH AVE NW STE 100
City: Norman
State: Oklahoma
ZIP Code: 73069-6344
Phone: (405) 801-2836

Authorized Official

Name: DR. JACK FRANK TRACY II, PH.D.
Title: LICENSED PSYCHOLOGIST
Phone: (405) 213-6130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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