Tracy Brooke Ryaru in Kentfield - Psychologist
Tracy Brooke Ryaru - NPI 1073714689
Tracy Brooke Ryaru is a Psychologist in Kentfield, California. Tracy Brooke Ryaru practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tracy Brooke Ryaru is 1073714689. The last update date is 2011-07-22.
Tracy Brooke Ryaru's current location address is 1044 Sir Francis Drake Blvd Ste 4, Kentfield, California. You can contact this provider via phone number 4157213344. The mailing address for Tracy Brooke Ryaru is 1044 Sir Francis Drake Blvd Ste 4, Kentfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Brooke Ryaru |
|---|---|
| Address | 1044 Sir Francis Drake Blvd Ste 4, Kentfield, California |
| Phone Number | 4157213344 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1073714689 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2011-07-22 |
Provider Mailing Address Detail
| Address | 1044 Sir Francis Drake Blvd Ste 4 |
|---|---|
| City | Kentfield |
| State | California (CA) |
| Post Code | 949041454 |
| Phone Number | 4157213344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 24226 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy Brooke Ryaru?
The Tracy Brooke Ryaru has been issued the NPI (National Provider Identifier) 1073714689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Tracy Brooke Ryaru is located?
The Tracy Brooke Ryaru is situated at the following address: 1044 Sir Francis Drake Blvd Ste 4, Kentfield, CA, 949041454.
What is the Tracy Brooke Ryaru's specialty and taxonomy code?
The Tracy Brooke Ryaru's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Tracy Brooke Ryaru receive the assignment of its 1073714689 from the Centers for Medicare & Medicaid Services?
The Tracy Brooke Ryaru was issued its 1073714689 by the Centers for Medicare & Medicaid Services on 2007-05-30.
As of what date were the details related to Tracy Brooke Ryaru most recently updated or revised?
The information pertaining to Tracy Brooke Ryaru, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-22.
NPI Number: 1194728337
Address: 5430 Fredericksburg Rd, San Antonio, TX