Tracy Lefebvre Roulet in Antioch - Clinical Child & Adolescent

Tracy Lefebvre Roulet - NPI 1124165212

Tracy Lefebvre Roulet is a Clinical Child & Adolescent in Antioch, California. Tracy Lefebvre Roulet practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Tracy Lefebvre Roulet is 1124165212. The last update date is 2007-07-08.

Tracy Lefebvre Roulet's current location address is 509 W 10th St, Antioch, California. You can contact this provider via phone number 9257779540. The mailing address for Tracy Lefebvre Roulet is 509 W 10th St, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Lefebvre Roulet
Address 509 W 10th St, Antioch, California
Phone Number 9257779540
Fax Number
Sole Proprietor Y
Credentials M.A

NPI Number Detail

NPI Number 1124165212
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 509 W 10th St
City Antioch
State California (CA)
Post Code 9450916530
Phone Number 9257779540
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Tracy Lefebvre Roulet

What is the Tracy Lefebvre Roulet's unique identification number?

The Tracy Lefebvre Roulet has been assigned the NPI (National Provider Identifier) Number 1124165212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Tracy Lefebvre Roulet's physical address?

The Tracy Lefebvre Roulet is physically located at 509 W 10Th St, in the city of Antioch, CA, with the postal code 9450916530.

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

The specialized field of practice for Tracy Lefebvre Roulet is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

When did Tracy Lefebvre Roulet receive its 1124165212 assignment?

The Tracy Lefebvre Roulet was assigned its 1124165212 on 2007-01-30, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Tracy Lefebvre Roulet, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracy Lefebvre Roulet, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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