Larson, Tracy Lorraine

Larson, Tracy Lorraine is an individual health care provider with primary practice located at 211 West Ave , Newark NY 14513-1336. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Larson, Tracy Lorraine can be contacted via phone (315) 331-6030.

Contact Information

Primary practice address
211 West Ave Newark NY 14513-1336
Phone: (315) 331-6030
Fax: (315) 331-9119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 014099 New York

Profile Details

NPI number 1689630675
LBN Legal business name Larson, Tracy Lorraine
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 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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