Gavila, Traci Leigh

Gavila, Traci Leigh is an sole proprietor health care provider with primary practice located at 220 S Buckhout St , Irvington NY 10533-2206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gavila, Traci Leigh can be contacted via phone (914) 200-3526.

Contact Information

Primary practice address
220 S Buckhout St Irvington NY 10533-2206
Phone: (914) 200-3526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 019442-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019442 New York

Profile Details

NPI number 1639423841
LBN Legal business name Gavila, Traci Leigh
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2012
Last updated Sep 14th, 2021 - about 4 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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