Kotval, Tracy

Kotval, Tracy is an sole proprietor health care provider with primary practice located at 10535 165Th St W , Lakeville MN 55044-5729. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kotval, Tracy can be contacted via phone (612) 787-2297.

Contact Information

Primary practice address
10535 165Th St W Lakeville MN 55044-5729
Phone: (612) 787-2297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 01256 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X CC00605 Minnesota

Profile Details

NPI number 1063750016
LBN Legal business name Kotval, Tracy
Credentials MA, L.P.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2013
Last updated Jun 10th, 2013 - about 13 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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