Individual
LORI TRACIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9227 RESEDA BLVD # 131, NORTHRIDGE, CA 91324-3137
(310) 853-3629
Mailing address
9227 RESEDA BLVD # 131, NORTHRIDGE, CA 91324-3137
(310) 853-3629
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
Primary
PSY29519
CA
Other
Enumeration date
09/23/2010
Last updated
06/26/2026
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