Individual
TRACEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
726 E MAIN ST STE F210, LEBANON, OH 45036-1900
(513) 800-1270
Mailing address
726 E MAIN ST STE F210, LEBANON, OH 45036-1900
(513) 800-1270
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.07970
OH
Other
Enumeration date
05/24/2020
Last updated
11/11/2023
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