Latza, Tracey E
Latza, Tracey E is an individual health care provider with primary practice located at 12760 W North Ave Building A, Brookfield WI 53005-4628. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Latza, Tracey E can be contacted via phone (262) 439-5500.Contact Information
Primary practice address
12760 W North Ave Building A
Brookfield WI 53005-4628
Phone: (262) 439-5500
Fax: (866) 439-5221
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 3601-125 | Wisconsin |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3102-57 | Wisconsin |
Profile Details
NPI number | 1760599211 |
---|---|
LBN Legal business name | Latza, Tracey E |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Jan 18th, 2022 - about 3 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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