Alysson, Tracey Lee

Alysson, Tracey Lee is an sole proprietor health care provider with primary practice located at 2937 Route 611 , Tannersville PA 18372-9990. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alysson, Tracey Lee can be contacted via phone (570) 269-5581.

Contact Information

Primary practice address
2937 Route 611 Tannersville PA 18372-9990
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X NH260 New Hampshire
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS017890 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3193 Massachusetts

Profile Details

NPI number 1427109289
LBN Legal business name Alysson, Tracey Lee
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Nov 9th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427109289 NPPES
New Hampshire Other 0602230YONHOI ANTHEM

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