Henley, Tracey G.

Henley, Tracey G. is an individual health care provider with primary practice located at 4720 Cleveland Heights Blvd Ste 105 , Lakeland FL 33813-2244. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Henley, Tracey G. can be contacted via phone (863) 701-9202.

Contact Information

Primary practice address
4720 Cleveland Heights Blvd Ste 105 Lakeland FL 33813-2244
Phone: (863) 701-9202
Fax: (863) 701-9292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY6020 Florida

Profile Details

NPI number 1528129038
LBN Legal business name Henley, Tracey G.
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 5th, 2008 - about 16 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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