Laticia D Vacca, is a
Psychologist - School based in Stratford, Oklahoma. Laticia D Vacca is licensed to practice in Oklahoma (license number 0811253) and her current practice location is
210 N Magnolia, Stratford, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 759-5025.
NPI number for Laticia D Vacca is 1942808274 and her current mailing address is 210 N Magnolia, Stratford, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942808274.
Healthcare Provider's Profile
| Full Name | Laticia D Vacca |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 210 N Magnolia, Stratford, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942808274
- Provider Enumeration Date: 10/09/2020
- Last Update Date: 10/09/2020
Medical Identifiers
Medical identifiers for Laticia D Vacca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942808274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 0811253 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laticia D Vacca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Laticia D Vacca, 210 N Magnolia, Stratford, OK 74872-4808 Ph: (580) 759-5025 | Laticia D Vacca, 210 N Magnolia, Stratford, OK 74872-4808 Ph: (580) 759-5025 |
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