Perry, Traci Alisia

Perry, Traci Alisia is an individual health care provider with primary practice located at 320 Decker Dr Suite 100, Irving TX 75062-8162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Perry, Traci Alisia can be contacted via phone (972) 719-2520.

Contact Information

Primary practice address
320 Decker Dr Suite 100 Irving TX 75062-8162
Fax: (972) 793-8957
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 32738 Texas

Profile Details

NPI number 1215125497
LBN Legal business name Perry, Traci Alisia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated May 14th, 2024 - about 6 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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