Individual
DR. TRACY M KSIAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 BLANK HONORS CTR, IOWA CITY, IA 52242-0454
(319) 335-6148
Mailing address
937 COTTONWOOD AVE, IOWA CITY, IA 52240-2110
(765) 749-3593
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
091877
IA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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