Detty, Tracy Lynn

Detty, Tracy Lynn is an individual health care provider with primary practice located at 305 E Pioneer , Puyallup WA 98372-3265. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Detty, Tracy Lynn can be contacted via phone (253) 697-8452.

Contact Information

Primary practice address
305 E Pioneer Puyallup WA 98372-3265
Phone: (253) 697-8452
Fax: (253) 697-3730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60915922 Washington

Profile Details

NPI number 1285069328
LBN Legal business name Detty, Tracy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2013
Last updated May 21st, 2021 - about 5 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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