Traci D Nix is a Clinical in New Haven, Connecticut. Traci D Nix practices all healthcare services and medical treatments related to Clinical. The NPI Number for Traci D Nix is 1710959101. The last update date is 2008-04-28.
Traci D Nix's current location address is 194 Fountain St, New Haven, Connecticut. You can contact this provider via phone number 2065792305. The mailing address for Traci D Nix is 194 Fountain St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci D Nix |
|---|---|
| Address | 194 Fountain St, New Haven, Connecticut |
| Phone Number | 2065792305 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1710959101 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 194 Fountain St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65151902 |
| Phone Number | 2065792305 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041928A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200473540A | IN | -- |
Post Comment/ Review Below
What is the Traci D Nix's 1710959101?
The Traci D Nix's NPI (National Provider Identifier) Number is 1710959101. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Traci D Nix?
The Traci D Nix is situated at 194 Fountain St, in the city of New Haven, state of CT, with the zip code 65151902.
What is the Traci D Nix's area of specialization and corresponding taxonomy classification?
The Traci D Nix's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1710959101 to Traci D Nix?
The Centers for Medicare & Medicaid Services assigned the 1710959101 to Traci D Nix on 2006-02-01.
As of what date was the information regarding Traci D Nix, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Traci D Nix, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-28.