Individual
DR. TRACY ADELL NEAL-WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 NIGHTINGALE RD, MDOS/CC, EDWARDS, CA 93524-0001
(661) 277-2183
Mailing address
1256 LUPINE CIR, EDWARDS, CA 93523-2416
(210) 324-7398
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
35-580
MS
Other
Enumeration date
05/23/2007
Last updated
02/16/2012
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