Individual
TRACY JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 HARBOR QUAY, CHESAPEAKE, VA 23320-2023
(757) 318-0157
Mailing address
708 HARBOR QUAY, CHESAPEAKE, VA 23320-2023
(757) 318-0157
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1307
VA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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