Tracey G. Henley in Lakeland - Clinical Neuropsychologist

Tracey G. Henley - NPI 1528129038

Tracey G. Henley is a Clinical Neuropsychologist in Lakeland, Florida. Tracey G. Henley practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Tracey G. Henley is 1528129038. The last update date is 2008-06-05.

Tracey G. Henley's current location address is 4720 Cleveland Heights Blvd Ste 105, Lakeland, Florida. You can contact this provider via phone number 8637019202 and fax number 8637019292. The mailing address for Tracey G. Henley is 4720 Cleveland Heights Blvd Ste 105, Lakeland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey G. Henley
Address 4720 Cleveland Heights Blvd Ste 105, Lakeland, Florida
Phone Number 8637019202
Fax Number 8637019292
Sole Proprietor N
Credentials PSY D

NPI Number Detail

NPI Number 1528129038
Provider Enumeration Date 2006-12-12
Last Updated Date 2008-06-05

Provider Mailing Address Detail

Address 4720 Cleveland Heights Blvd Ste 105
City Lakeland
State Florida (FL)
Post Code 338132244
Phone Number 8637019202
Fax Number 8637019292

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PY6020
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Tracey G. Henley

What is the unique provider identifier assigned to Tracey G. Henley?

The Tracey G. Henley has been issued the NPI (National Provider Identifier) 1528129038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tracey G. Henley is geographically located?

The Tracey G. Henley is physically situated at the following location: 4720 Cleveland Heights Blvd Ste 105, Lakeland, FL, 338132244.

What is Tracey G. Henley's area of expertise and its corresponding taxonomy classification?

The Tracey G. Henley's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528129038 to Tracey G. Henley?

The Centers for Medicare & Medicaid Services originally issued the 1528129038 to Tracey G. Henley on 2006-12-12.

As of what date were the details pertaining to Tracey G. Henley last refreshed?

The information related to the Tracey G. Henley, including its address, specialty, and other relevant details, was last updated on 2008-06-05.

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