Individual
DR. TRACIE DANIELLE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 ACADEMY AVE, SANGER, CA 93657-2128
(559) 875-7705
Mailing address
4174 LEVELSIDE AVE, LAKEWOOD, CA 90712-4031
(562) 234-4750
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G83052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G830520
—
CA
05
—
G83052
—
CA
Enumeration date
04/10/2006
Last updated
06/15/2020
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