Basic Information
Provider Information
NPI: 1932615622
EntityType: 2
ReplacementNPI:  
OrganizationName: FREY PSYCHOLOGICAL AND CONSULTING SERVICES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 W ROCK CREEK RD STE 101
Address2:  
City: NORMAN
State: OK
PostalCode: 730698581
CountryCode: US
TelephoneNumber: 4057018400
FaxNumber: 4053102081
Practice Location
Address1: 800 W ROCK CREEK RD STE 101
Address2:  
City: NORMAN
State: OK
PostalCode: 730698581
CountryCode: US
TelephoneNumber: 4057018400
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/18/2017
LastUpdateDate: 12/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FREY
AuthorizedOfficialFirstName: MELISSA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 4055909693
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: PH.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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