| Dr Gricelda Fragoso, PSYD | |
|
1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 | |
| (405) 309-9051 | |
| Not Available |
| Full Name | Dr Gricelda Fragoso |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | 1985 W 33rd St, Edmond, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689702540 | NPI | - | NPPES |
| 10138 | Other | CA | SAN DIEGO HHSA (EPSDT) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 21847 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1131 (Oklahoma) | Primary |
| Entity Name | Gricelda Fragoso, Psy D, A Professional Psychology Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669012787 PECOS PAC ID: 8325463052 Enrollment ID: O20200729000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gricelda Fragoso, PSYD 1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 Ph: (405) 309-9051 | Dr Gricelda Fragoso, PSYD 1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 Ph: (405) 309-9051 |
Dr. Caleb Wayne Lack, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7413 Oak Ave, Edmond, OK 73034 Phone: 405-509-0959 | |
Dr. Tamara Trower, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14020 N Western Ave, Edmond, OK 73013 Phone: 405-822-7844 Fax: 405-493-6760 | |
Jose Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3225 Farmers Market Way, Edmond, OK 73034 Phone: 405-887-4620 | |
Mrs. Pm Markie Mccoy, DCSW LSW LMFT BCD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 W Simmons Rd, Edmond, OK 73034 Phone: 405-348-3655 Fax: 405-348-7208 | |
Priscilla Jacky, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1411 W Aries Rd, Edmond, OK 73003 Phone: 405-223-0457 | |
Paula G Parsons, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1732 S Kelly Ave, Edmond, OK 73013 Phone: 405-844-8085 | |
Ashley Hale, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 E 15th St Ste 800b, Edmond, OK 73013 Phone: 405-455-6868 Fax: 405-562-3444 |