Individual
DR. TRACY ELIZABETH MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
427 CODY AVE, HURLBURT FIELD, FL 32544-5407
(850) 884-6373
Mailing address
427 CODY AVE, HURLBURT FIELD, FL 32544-5407
(850) 844-6373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7998
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2006
Last updated
06/01/2022
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