Deliman, Tracy Lynne

Deliman, Tracy Lynne is an sole proprietor health care provider with primary practice located at 11245 Ragan Way , Grass Valley CA 95949-6753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deliman, Tracy Lynne can be contacted via phone (510) 725-5454.

Contact Information

Primary practice address
11245 Ragan Way Grass Valley CA 95949-6753
Phone: (510) 725-5454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY17424 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 17424 California

Profile Details

NPI number 1760736953
LBN Legal business name Deliman, Tracy Lynne
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2012
Last updated Feb 13th, 2020 - about 6 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 1760736953 NPPES
California Other PSY17424 PSYCHOLOGIST LICENSE

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