Individual
DR. TRACEY GOODMAN SKALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2621 VICTORY PKWY, CINCINNATI, OH 45206-1754
(513) 861-6688
(513) 559-3848
Mailing address
4965 TAFT PL, CINCINNATI, OH 45243-3961
(513) 658-0012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-06-2674
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316132
ANRHEM PROVIDER
—
05
—
0997088
—
OH
Enumeration date
07/27/2006
Last updated
03/07/2023
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