<Unavail>

LBN: Tracy Wutzke, Psy.D
<Unavail> is an health care organization with primary practice located at 9888 Carroll Centre Rd Ste 216 , San Diego CA 92126-4515. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Tracy Wutzke, Psy.D can be contacted via phone (858) 413-7557, or through Wutzke, Tracy via phone (858) 413-7557.

Contact Information

Primary practice address
9888 Carroll Centre Rd Ste 216 San Diego CA 92126-4515
Phone: (858) 413-7557
Fax: (858) 217-5285
Website:
Map and Directions
Authorized official contact:
Name: Wutzke, Tracy PSY.D
Phone: (858) 413-7557

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17239 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 52458 California

Profile Details

NPI number 1750827499
LBN Legal business name Tracy Wutzke, Psy.D
DBA Doing business as <Unavail>
Authorized official Wutzke, Tracy PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2017
Last updated Nov 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750827499 NPPES
California Other 100058167001 BLUE SHIELD OF CALIFORNIA
California Other 240986 BLUE SHIELD OF CALIFORNIA
California Other 134599523187 BLUE SHIELD OF CALIFORNIA
California Other 0009236145 BLUE SHIELD OF CALIFORNIA

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