Individual
DR. TRACY A LOYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
159 STATE ST STE 205, MONTPELIER, VT 05602-3301
(802) 498-8960
Mailing address
2809 NORTH ST, MONTPELIER, VT 05602-4486
(802) 498-8960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
703
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006401
—
VT
Enumeration date
10/11/2006
Last updated
01/29/2021
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