Individual
DR. BRAELYN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2001 UNIVERSITY DR, LEMONT FURNACE, PA 15456-1029
(724) 626-4444
Mailing address
2001 UNIVERSITY DR, LEMONT FURNACE, PA 15456-1029
(724) 626-4444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
PA
103TC2200X
Clinical Child & Adolescent Psychologist
—
PA
103TS0200X
School Psychologist
Primary
SP-8693543
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025726530002
—
PA
01
—
23281
UPMC
PA
01
—
PABLS
HIGHMARK BCBS
PA
Enumeration date
06/27/2024
Last updated
06/27/2024
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