Sandra Petrick, PH.D.

NPI #1619037678 in Grove, Oklahoma

Provider Information

NPI Number: 1619037678
Entity Type: Individual
Name: Sandra Petrick, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 209 EAST 6 STREET
City: Grove
State: Oklahoma
ZIP Code: 74345
Phone: (918) 786-8830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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