Organization
JOHN M. TRACY, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M TRACY PHD, MP (MEDICAL AND COUNSELING PSYCHOLOGIST)
(337) 534-0727
Entity
Organization
Contact information
Practice address
3312 KALISTE SALOOM RD BLDG 1, LAFAYETTE, LA 70508-7449
(337) 534-0727
(337) 534-0737
Mailing address
139 TECHE DR, LAFAYETTE, LA 70503-2537
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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