| Tracy Protti Phd Psychological And Consultative Services | |
|
5619 Belmont Ave Apt 1307 Dallas TX 75206-6771 | |
| (662) 487-6775 | |
| Not Available |
| Full Name | Tracy Protti Phd Psychological And Consultative Services |
|---|---|
| Speciality | Psychologist |
| Location | 5619 Belmont Ave Apt 1307, Dallas, Texas |
| Authorized Official Name and Position | Tracy Protti (PSYCHOLOGIST) |
| Authorized Official Contact | 6624876774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Protti Phd Psychological And Consultative Services 3014 Dauphine St Ste A New Orleans LA 70117-6755 Ph: (662) 487-6775 | Tracy Protti Phd Psychological And Consultative Services 5619 Belmont Ave Apt 1307 Dallas TX 75206-6771 Ph: (662) 487-6775 |
| NPI Number | 1205608676 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 5991154221 |
|---|---|
| Medicare Enrollment ID | O20231212004214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205608676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Tracy Protti |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1629620984 PECOS PAC ID: 6800245135 Enrollment ID: I20231212004223 |
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