Individual
TRACY YAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127112
ANTHEM
OH
05
—
2314561
—
OH
Enumeration date
10/05/2006
Last updated
04/28/2008
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