Tracy Dern, PSYCH Valid NPI
Individual provider · Forensic Psychologist · Coalinga, CA
- NPI
- 1215121678
- Type
- Individual (Type 1)
- Primary specialty
- Forensic Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TF0200X
- License number
- PSY20534 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-08-29
- Last updated
- 2007-08-29
Practice location
24511 W Jayne Ave
Coalinga, CA 93210-9503
(559) 935-4301