Tracy Dern is a Forensic in Sacramento, California. Tracy Dern practices all healthcare services and medical treatments related to Forensic. The NPI Number for Tracy Dern is 1215121678. The last update date is 2007-08-29.
Tracy Dern's current location address is 1600 9th St, Sacramento, California. You can contact this provider via phone number 9166542431 and fax number 9166543186. The mailing address for Tracy Dern is 1600 9th St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Dern |
|---|---|
| Address | 1600 9th St, Sacramento, California |
| Phone Number | 9166542431 |
| Fax Number | 9166543186 |
| Sole Proprietor | Y |
| Credentials | PSYCH |
NPI Number Detail
| NPI Number | 1215121678 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 1600 9th St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958146404 |
| Phone Number | 9166542431 |
| Fax Number | 9166543186 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | PSY20534 |
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Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tracy Dern by the Centers for Medicare & Medicaid Services?
The Tracy Dern has been assigned the NPI (National Provider Identifier) 1215121678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Tracy Dern is physically located?
The Tracy Dern is physically situated at the following address: 1600 9Th St, Sacramento, CA, 958146404.
What is the Tracy Dern's specialty and taxonomy code?
The Tracy Dern's specialty is Forensic, and the corresponding taxonomy code is 103Tf0200X.
When did the Tracy Dern receive its 1215121678?
The Tracy Dern was issued its 1215121678 on 2007-08-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Tracy Dern, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracy Dern, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-29.