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John M. Tracy, Phd, Llc
Prescribing (Medical) Psychologist in Lafayette, Louisiana
NPI 1124708458

John M. Tracy, Phd, Llc is a Prescribing (Medical) Psychologist based in Lafayette, LA and is specialized in Prescribing (Medical). John M. Tracy, Phd, Llc practices in Lafayette, LA. The NPI Number for John M. Tracy, Phd, Llc is 1124708458 and holds a License No. (Louisiana).

The current practice location address for John M. Tracy, Phd, Llc is 3312 Kaliste Saloom Rd Bldg 1, Lafayette, LA and can be reached out via phone at 337-534-0727 and via fax at 337-534-0737.

Location: 3312 Kaliste Saloom Rd Bldg 1, Lafayette, LA, 70503-2537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124708458
Provider Name
John M. Tracy, Phd, Llc
Credential
Provider Entity Type
Organization
Address
3312 Kaliste Saloom Rd Bldg 1, Lafayette, LA, 70503-2537
Phone Number
337-534-0727
Fax Number
337-534-0737
Provider Enumeration Date
07/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3312 Kaliste Saloom Rd Bldg 1
City
Lafayette
State
Louisiana
Zip
70508-7449
Phone Number
337-534-0727
Fax Number
337-534-0737
person
Provider Business Mailing Address Details
Address
3312 Kaliste Saloom Rd Bldg 1
City
Lafayette
State
Louisiana
Zip
70508-7449
Phone Number
337-534-0727
Fax Number
337-534-0737
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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