Individual
DR. TRACY H HEIBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
46 MERIAM ST, LEXINGTON, MA 02420-3620
(781) 863-5760
Mailing address
46 MERIAM ST, LEXINGTON, MA 02420-3620
(781) 863-5760
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5012
MA
Other
Enumeration date
01/01/2009
Last updated
01/01/2009
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