Individual
TRACY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2900 W CYPRESS CREEK RD, SUITE 3, FT LAUDERDALE, FL 33309-1715
(954) 601-1930
(954) 601-1399
Mailing address
2900 W CYPRESS CREEK RD, SUITE 3, FT LAUDERDALE, FL 33309-1715
(954) 601-1930
(954) 601-1399
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/15/2007
Last updated
09/12/2011
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