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Tracy Wutzke, Psy.d
Marriage & Family Therapist in San Diego, California
NPI 1750827499

Tracy Wutzke, Psy.d is a Marriage & Family Therapist based in San Diego, CA. Tracy Wutzke, Psy.d practices in San Diego, CA. The NPI Number for Tracy Wutzke, Psy.d is 1750827499 and holds a License No. PSY17239 (California).

The current practice location address for Tracy Wutzke, Psy.d is 9888 Carroll Centre Rd Ste 216, San Diego, CA and can be reached out via phone at 858-413-7557 and via fax at 858-217-5285.

Location: 9888 Carroll Centre Rd Ste 216, San Diego, CA, 92126-4515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750827499
Provider Name
Tracy Wutzke, Psy.d
Credential
Provider Entity Type
Organization
Address
9888 Carroll Centre Rd Ste 216, San Diego, CA, 92126-4515
Phone Number
858-413-7557
Fax Number
858-217-5285
Provider Enumeration Date
01/18/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100058167001 01 CA BLUE SHIELD OF CALIFORNIA
240986 01 CA MHN
134599523187 01 CA HUMANA
0009236145 01 CA AETNA
institution
Provider Business Practice Location Address Details
Address
9888 Carroll Centre Rd Ste 216
City
San Diego
State
California
Zip
92126-4515
Phone Number
858-413-7557
Fax Number
858-217-5285
person
Provider Business Mailing Address Details
Address
9888 Carroll Centre Rd Ste 216
City
San Diego
State
California
Zip
92126-4515
Phone Number
858-413-7557
Fax Number
858-217-5285
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
52458 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
PSY17239 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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