Smith, Tracy Patricia

Smith, Tracy Patricia is an sole proprietor health care provider with primary practice located at 1950 Addison Street , Berkeley CA 94704. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Tracy Patricia can be contacted via phone (510) 841-9230.

Contact Information

Primary practice address
1950 Addison Street Berkeley CA 94704
Phone: (510) 841-9230
Fax: (510) 841-0167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1922207141
LBN Legal business name Smith, Tracy Patricia
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2007
Last updated Jan 16th, 2009 - about 15 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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