Tracey Lee Alysson is a Clinical in Bangor, Pennsylvania. Tracey Lee Alysson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracey Lee Alysson is 1427109289. The last update date is 2015-11-09.
Tracey Lee Alysson's current location address is 3021 Valley View Dr, Bangor, Pennsylvania. You can contact this provider via phone number 6033132517. The mailing address for Tracey Lee Alysson is 3021 Valley View Dr, Bangor, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Lee Alysson |
|---|---|
| Address | 3021 Valley View Dr, Bangor, Pennsylvania |
| Phone Number | 6033132517 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1427109289 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2015-11-09 |
Provider Mailing Address Detail
| Address | 3021 Valley View Dr |
|---|---|
| City | Bangor |
| State | Pennsylvania (PA) |
| Post Code | 180136130 |
| Phone Number | 6033132517 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | NH260 |
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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 |
|---|---|---|---|
| 0602230YONHOI | NH | ANTHEM |
Post Comment/ Review Below
What is the Tracey Lee Alysson's unique identification number?
The Tracey Lee Alysson has been assigned the NPI (National Provider Identifier) Number 1427109289 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Tracey Lee Alysson?
The Tracey Lee Alysson is situated at 3021 Valley View Dr, in the city of Bangor, state of PA, with the zip code 180136130.
What is Tracey Lee Alysson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracey Lee Alysson is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1427109289 to Tracey Lee Alysson?
The Centers for Medicare & Medicaid Services assigned the 1427109289 to Tracey Lee Alysson on 2007-01-16.
When was the information related to Tracey Lee Alysson most recently updated or refreshed?
The details pertaining to the Tracey Lee Alysson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-09.