Individual
TRACY M GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042484A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201009820
—
IN
Enumeration date
08/20/2010
Last updated
08/03/2016
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