Tracey Criss is a Psychiatry in Roanoke, Virginia. Tracey Criss practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Tracey Criss is 1477535920. The last update date is 2011-08-11.
Tracey Criss's current location address is 2017 Jefferson St Sw, Roanoke, Virginia. You can contact this provider via phone number 5409818025. The mailing address for Tracey Criss is 2017 Jefferson St Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Criss |
|---|---|
| Address | 2017 Jefferson St Sw, Roanoke, Virginia |
| Phone Number | 5409818025 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477535920 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | 2017 Jefferson St Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240142419 |
| Phone Number | 5409818025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 0101-052398 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7104588 | VA | -- |
Post Comment/ Review Below
What is the Tracey Criss's unique identification number?
The Tracey Criss has been assigned the NPI (National Provider Identifier) Number 1477535920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Tracey Criss is geographically located?
The Tracey Criss is physically situated at the following location: 2017 Jefferson St Sw, Roanoke, VA, 240142419.
What is Tracey Criss's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracey Criss is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Tracey Criss receive the assignment of its 1477535920 from the Centers for Medicare & Medicaid Services?
The Tracey Criss was issued its 1477535920 by the Centers for Medicare & Medicaid Services on 2005-11-18.
When was the information pertaining to Tracey Criss most recently updated or revised?
The details related to Tracey Criss, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-11.
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