Individual
TRACI A. GOLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
240 W. TYRONE RD, OAK RIDGE, TN 37830
(865) 481-6170
(865) 483-6697
Mailing address
240 W TYRONE RD, OAK RIDGE, TN 37830-6517
(865) 481-6170
(865) 483-6697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2842
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441848
—
TN
Enumeration date
08/21/2007
Last updated
10/17/2012
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