Individual
TRACY D VANNORSDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 N WOLFE ST, MEYER 218, BALTIMORE, MD 21287-0005
(410) 955-3268
(410) 955-0504
Mailing address
600 N WOLFE ST, MEYER 218, BALTIMORE, MD 21287-0005
(410) 955-3268
(410) 955-0504
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04467
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023328500
—
MD
Enumeration date
01/30/2007
Last updated
10/29/2009
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