Wustenhoff, Tracy Lynn

Wustenhoff, Tracy Lynn is an sole proprietor health care provider with primary practice located at 3600 Route 112 , Coram NY 11727-4116. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wustenhoff, Tracy Lynn can be contacted via phone (631) 920-8500.

Contact Information

Primary practice address
3600 Route 112 Coram NY 11727-4116
Phone: (631) 920-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005297-1 New York

Profile Details

NPI number 1245570860
LBN Legal business name Wustenhoff, Tracy Lynn
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2013
Last updated Sep 10th, 2013 - about 11 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.

Request for update

Popular Providers