Agostin, Tracy Mckee
Agostin, Tracy Mckee is an sole proprietor health care provider with primary practice located at 8820 Trinity Rd Ste 202 , Cordova TN 38018-2735. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Agostin, Tracy Mckee can be contacted via phone (901) 756-8398.Contact Information
Primary practice address
8820 Trinity Rd Ste 202
Cordova TN 38018-2735
Phone: (901) 756-8398
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1727 | Tennessee |
Profile Details
NPI number | 1386671352 |
---|---|
LBN Legal business name | Agostin, Tracy Mckee |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2006 |
Last updated | Jun 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386671352 | NPPES |
Tennessee | MEDICAID | 14C182000 |
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