Individual
DR. TRACY JANE COPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 MORMON MILL RD, #A6, MARBLE FALLS, TX 78654-4175
(830) 693-5645
(830) 693-5644
Mailing address
1800 MORMON MILL RD, #A6, MARBLE FALLS, TX 78654-4175
(830) 693-5645
(830) 693-5644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36387
TX
103TC0700X
Clinical Psychologist
CP-40
GU
Other
Enumeration date
07/16/2013
Last updated
07/28/2014
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