Individual
DR. TRACY LYNN CARLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5000 HAYVENHURST AVE, ENCINO, CA 91436-1115
(818) 713-0508
(818) 703-8050
Mailing address
5000 HAYVENHURST AVE, ENCINO, CA 91436-1115
(818) 713-0508
(818) 703-8050
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
PSY16888
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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