Ms Tracy Manzoni, LEP is a
Psychologist - School based in Patterson, California. Ms Tracy Manzoni is licensed to practice in California (license number LEP2471) and her current practice location is
510 Keystone Blvd, Patterson, California. She can be reached at her office (for appointments etc.) via phone at
(209) 895-7737.
NPI number for Ms Tracy Manzoni is 1366921629 and her current mailing address is 510 Keystone Blvd, Patterson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366921629.
Healthcare Provider's Profile
| Full Name | Ms Tracy Manzoni |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 510 Keystone Blvd, Patterson, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366921629
- Provider Enumeration Date: 08/08/2018
- Last Update Date: 08/08/2018
Medical Identifiers
Medical identifiers for Ms Tracy Manzoni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366921629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | LEP2471 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tracy Manzoni is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tracy Manzoni, LEP
510 Keystone Blvd,
Patterson, CA 95363-8861
Ph: (209) 895-7737 | Ms Tracy Manzoni, LEP
510 Keystone Blvd,
Patterson, CA 95363-8861
Ph: (209) 895-7737 |
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