Alysson, Tracey Lee
Alysson, Tracey Lee is an sole proprietor health care provider with primary practice located at 2937 Route 611 , Tannersville PA 18372-9990. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alysson, Tracey Lee can be contacted via phone (570) 269-5581.Contact Information
Primary practice address
2937 Route 611
Tannersville PA 18372-9990
Phone: (570) 269-5581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | NH260 | New Hampshire |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS017890 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3193 | Massachusetts |
Profile Details
| NPI number | 1427109289 |
|---|---|
| LBN Legal business name | Alysson, Tracey Lee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Nov 9th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427109289 | NPPES |
| New Hampshire | Other | 0602230YONHOI | ANTHEM |
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