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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760736953 | NPPES |
| California | Other | PSY17424 | PSYCHOLOGIST LICENSE |
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