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DR. FRED M PATRIZI PHD

Clinical Neuropsychologist

Norman, Oklahoma

Provider NPI: 1104861988

Provider Information:
DR. FRED M PATRIZI PHD
Gender: M
Sole Proprietor


Practice Location:
419 W GRAY ST  NORMAN, OK 73069 US
Tel: 405-321-3499  Fax: 405-364-5379

Business Mailing Address:
PO BOX 1729  NORMAN, OK 73070 US
Tel: 405-321-3499  Fax: 405-364-5379

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
OK584
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
OK584
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OK584

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICAREP00323812OK01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OK - Page 1



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