Chisholm, Tracy Leigh
Chisholm, Tracy Leigh is an sole proprietor health care provider with primary practice located at 22400 Johnson Rd , West Linn OR 97068-9722. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chisholm, Tracy Leigh can be contacted via phone (850) 294-5733.Contact Information
Primary practice address
22400 Johnson Rd
West Linn OR 97068-9722
Phone: (850) 294-5733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001273 | Iowa |
Profile Details
| NPI number | 1003240078 |
|---|---|
| LBN Legal business name | Chisholm, Tracy Leigh |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2013 |
| Last updated | Aug 27th, 2013 - 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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