Individual
DR. KATHLENE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
423 EAST 23RD STREET, 12N122D, NEW YORK, NY 10010
(212) 686-7500
Mailing address
423 EAST 23RD STREET, 12N122D, NEW YORK, NY 10010
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015871
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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