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Individual

TRACY PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1550 IRON POINT RD, FOLSOM, CA 95630-7802
(301) 363-0019
Mailing address
1550 IRON POINT RD, FOLSOM, CA 95630-7802
(301) 363-0019

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13137727
WA
Enumeration date
02/13/2021
Last updated
02/13/2021
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