Dern, Tracy
Dern, Tracy is an sole proprietor health care provider with primary practice located at 24511 W Jayne Ave , Coalinga CA 93210-9503. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Dern, Tracy can be contacted via phone (559) 935-4301.Contact Information
Primary practice address
24511 W Jayne Ave
Coalinga CA 93210-9503
Phone: (559) 935-4301
Fax: (559) 935-7118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY20534 | California |
Profile Details
| NPI number | 1215121678 |
|---|---|
| LBN Legal business name | Dern, Tracy |
| Credentials | PSYCH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Aug 29th, 2007 - about 17 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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