Tracy Lorraine Larson in Newark - Psychologist

Tracy Lorraine Larson - NPI 1689630675

Tracy Lorraine Larson is a Psychologist in Newark, New York. Tracy Lorraine Larson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tracy Lorraine Larson is 1689630675. The last update date is 2007-07-08.

Tracy Lorraine Larson's current location address is 211 West Ave, Newark, New York. You can contact this provider via phone number 3153316030 and fax number 3153319119. The mailing address for Tracy Lorraine Larson is 211 West Ave, Newark, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Lorraine Larson
Address 211 West Ave, Newark, New York
Phone Number 3153316030
Fax Number 3153319119
Sole Proprietor X
Credentials PSY.D.

NPI Number Detail

NPI Number 1689630675
Provider Enumeration Date 2006-04-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 211 West Ave
City Newark
State New York (NY)
Post Code 145131336
Phone Number 3153316030
Fax Number 3153319119

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 14099
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

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FAQs about Tracy Lorraine Larson

What is the unique provider identifier assigned to Tracy Lorraine Larson?

The Tracy Lorraine Larson has been issued the NPI (National Provider Identifier) 1689630675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Tracy Lorraine Larson is physically located?

The Tracy Lorraine Larson is physically situated at the following address: 211 West Ave, Newark, NY, 145131336.

What is Tracy Lorraine Larson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tracy Lorraine Larson's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689630675 to Tracy Lorraine Larson?

The Centers for Medicare & Medicaid Services originally issued the 1689630675 to Tracy Lorraine Larson on 2006-04-26.

As of what date was the information pertaining to Tracy Lorraine Larson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tracy Lorraine Larson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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