Individual
MS. TRACELA MICHELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34 PEACHTREE ST NW, SUITE 770, ATLANTA, GA 30303-2316
(912) 557-7001
Mailing address
1107 E UPSAL ST, APT. 1, PHILADELPHIA, PA 19150-2601
(215) 548-4237
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003238
GA
1744R1102X
Research Study Specialist
PS015143
PA
Other
Enumeration date
06/27/2007
Last updated
02/06/2009
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