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Organization

TRACI TIME PSYCHOTHERAPY

Active
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Organization

TRACI TIME PSYCHOTHERAPY

Active
Other names
Traci Time Psychotherapy
Organization subpart
No

Provider details

NPI number
Authorized official
TRACI TIME PSY.D. (PSYCHOLOGIST)
(818) 650-2029
Entity
Organization

Contact information

Practice address
22900 VENTURA BLVD STE 260, WOODLAND HILLS, CA 91364-5803
(818) 650-2029
Mailing address
22900 VENTURA BLVD STE 260, WOODLAND HILLS, CA 91364-5803
(818) 650-2029

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
12/28/2018
Last updated
06/26/2019
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