Van Dyke, Tracey J
Van Dyke, Tracey J is an individual health care provider with primary practice located at 4823 N Royal Atlanta Dr , Tucker GA 30084-3806. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Van Dyke, Tracey J can be contacted via phone (770) 939-2121.Contact Information
Primary practice address
4823 N Royal Atlanta Dr
Tucker GA 30084-3806
Phone: (770) 939-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1790106185 |
|---|---|
| LBN Legal business name | Van Dyke, Tracey J |
| Credentials | MA S/T |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2014 |
| Last updated | Jan 2nd, 2014 - about 12 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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