Individual
TRACY GUIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-8315
(614) 355-8361
Mailing address
P.O. BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6903
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
10/28/2009
Last updated
10/24/2013
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