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Contact Information

SANDRA PETRICK, PhD
209 EAST 6 STREET
GROVE, OK74345
 Phone: 918-786-8830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA PETRICK · (Female)

NPI Number 1619037678
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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