Provider Demographics
NPI:1871704288
Name:FREY, MELISSA LOU (PHD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LOU
Last Name:FREY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W ROCK CREEK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8581
Mailing Address - Country:US
Mailing Address - Phone:405-701-8400
Mailing Address - Fax:405-310-2081
Practice Address - Street 1:800 W ROCK CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8581
Practice Address - Country:US
Practice Address - Phone:405-701-8400
Practice Address - Fax:405-310-2081
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK984103T00000X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service