Tracy Wutzke in San Diego - Clinical

Tracy Wutzke - NPI 1841415122

Tracy Wutzke is a Clinical in San Diego, California. Tracy Wutzke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Wutzke is 1841415122. The last update date is 2021-11-29.

Tracy Wutzke's current location address is 9888 Carroll Centre Rd Ste 216, San Diego, California. You can contact this provider via phone number 8584137557. The mailing address for Tracy Wutzke is 9888 Carroll Centre Rd Ste 216, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Wutzke
Address 9888 Carroll Centre Rd Ste 216, San Diego, California
Phone Number 8584137557
Fax Number
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1841415122
Provider Enumeration Date 2007-04-13
Last Updated Date 2021-11-29

Provider Mailing Address Detail

Address 9888 Carroll Centre Rd Ste 216
City San Diego
State California (CA)
Post Code 921264515
Phone Number 8584137557
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY17239
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Tracy Wutzke

What is the Tracy Wutzke's 1841415122?

The Tracy Wutzke's NPI (National Provider Identifier) Number is 1841415122. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tracy Wutzke's facilities are situated?

The facilities of Tracy Wutzke are physically located at the following address: 9888 Carroll Centre Rd Ste 216, San Diego, CA, 921264515.

What is the area of specialization for Tracy Wutzke, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tracy Wutzke is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841415122 to Tracy Wutzke?

The Centers for Medicare & Medicaid Services originally issued the 1841415122 to Tracy Wutzke on 2007-04-13.

As of what date were the details pertaining to Tracy Wutzke last refreshed?

The information related to the Tracy Wutzke, including its address, specialty, and other relevant details, was last updated on 2021-11-29.

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