Individual
DR. TRACY JOHN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9250 W 5TH AVE, 302, LAKEWOOD, CO 80226-1098
(303) 202-6143
(720) 294-0405
Mailing address
9250 W. 5TH AVE., 302, LAKEWOOD, CO 80226-7400
(303) 202-6143
(720) 294-0405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1933
PSYCHOLOGIST LICENSE
CO
Enumeration date
01/29/2007
Last updated
07/08/2007
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