Active NPIIndividual providerSole proprietor

Dr. Tracy H Heibeck, PHD

Psychologist, Clinical Child & Adolescent in Lexington, Massachusetts

NPI Number1720224397
Practice location
46 Meriam St, Lexington, MA 02420-3620
Fax
—
Last updated
January 1, 2009

Tracy H Heibeck is a Psychologist, Clinical Child & Adolescent based in Lexington, MA. Tracy H Heibeck practices in Lexington, MA and has the professional credentials of PHD. The NPI Number for Tracy H Heibeck is 1720224397 and holds a License No. 5012 (MA). The current practice location address for Tracy H Heibeck is 46 Meriam St, Lexington, MA 02420-3620 and can be reached out via phone at 781-863-5760.

Provider Profile Details

NPI Number
1720224397
Provider Name
Tracy H Heibeck
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
46 Meriam St, Lexington, MA 02420-3620
Phone Number
781-863-5760
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 1, 2009
Last Update Date
January 1, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Meriam St
Lexington, MA 02420-3620
Zip
02420-3620
Phone Number
781-863-5760
Lexington, MA 02420Get directions →

Provider Business Mailing Address Details

Address
46 Meriam St
Lexington, MA 02420-3620
City
Lexington
State
MA
Zip
02420-3620
Phone Number
781-863-5760

License Information

License Number
5012
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tracy H Heibeck, PHD?

The NPI number of Dr. Tracy H Heibeck, PHD is 1720224397. It was assigned on January 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Tracy H Heibeck, PHD?

Dr. Tracy H Heibeck, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 5012.

Where does Dr. Tracy H Heibeck, PHD practice?

The practice location is 46 Meriam St, Lexington, MA 02420-3620. The office can be reached at 781-863-5760 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720224397 directly on the NPPES registry website.

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