Burke, Tracy Daniel

Burke, Tracy Daniel is an sole proprietor health care provider with primary practice located at 104 S Church St , West Chester PA 19382-3202. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Burke, Tracy Daniel can be contacted via phone (610) 431-7810.

Contact Information

Primary practice address
104 S Church St West Chester PA 19382-3202
Fax: (610) 431-7811
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005355L Pennsylvania

Profile Details

NPI number 1417019928
LBN Legal business name Burke, Tracy Daniel
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 21st, 2014 - about 11 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 1417019928 NPPES
Pennsylvania Other 603933 BC BS PROVIDER

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