Individual
DR. TRACY JO DRAHOTA
Active
Individual
DR. TRACY JO DRAHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3289
OR
103TC0700X
Clinical Psychologist
Primary
41303
TX
103TC0700X
Clinical Psychologist
PSY-004145
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500788403
—
OR
05
—
684311
—
AZ
01
—
Z327625
MEDICARE
AZ
Enumeration date
01/27/2011
Last updated
08/28/2026
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