Individual
DR. TRACY A. MENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
152 OLDWICK RD, OLDWICK, NJ 08858-7041
(908) 439-3456
Mailing address
PO BOX 644, LEBANON, NJ 08833-0644
(732) 595-8587
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-118654
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
35S100628700
NJ
103TS0200X
School Psychologist
00234883
NJ
Other
Enumeration date
02/05/2015
Last updated
06/10/2022
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