Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 629 | OK |
NPI | 1073561932 |
---|---|
Provider Name | Dr. Patricia Cox Acree |
First Address | Oklahoma City, OK 73120-9369 |
Second Address | Oklahoma City, OK 73120-9369 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/07/2007 |