Mallett, Tracy

Mallett, Tracy is an sole proprietor health care provider with primary practice located at 8201 Peters Rd , Plantation FL 33324-3265. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mallett, Tracy can be contacted via phone (954) 665-4115.

Contact Information

Primary practice address
8201 Peters Rd Plantation FL 33324-3265
Phone: (954) 665-4115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2077 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY7881 Florida

Profile Details

NPI number 1417054990
LBN Legal business name Mallett, Tracy
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2006
Last updated Feb 11th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417054990 NPPES
Florida Other Z090E BCBS NUMBER

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