Pritzl, Tracy Renee

Pritzl, Tracy Renee is an individual health care provider with primary practice located at 3636 N 124Th St Suite 200, Wauwatosa WI 53222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pritzl, Tracy Renee can be contacted via phone (414) 476-9755.

Contact Information

Primary practice address
3636 N 124Th St Suite 200 Wauwatosa WI 53222
Phone: (414) 476-9755
Fax: (414) 476-3413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 44-140 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2825-27 Wisconsin

Profile Details

NPI number 1427243369
LBN Legal business name Pritzl, Tracy Renee
Credentials PSY.D, BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Jul 18th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427243369 NPPES
Wisconsin MEDICAID 1427243369

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