Phelps, Tracy
Phelps, Tracy is an sole proprietor health care provider with primary practice located at 1550 Iron Point Rd , Folsom CA 95630-7802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Phelps, Tracy can be contacted via phone (301) 363-0019.Contact Information
Primary practice address
1550 Iron Point Rd
Folsom CA 95630-7802
Phone: (301) 363-0019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
| NPI number | 1982297644 |
|---|---|
| LBN Legal business name | Phelps, Tracy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2021 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982297644 | NPPES |
| Washington | MEDICAID | 13137727 |
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