Individual
DR. TRACY LEE HARDISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3521
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3521
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2673
CO
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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