NPI 1124708458

John M. Tracy, PHD, LLC

Organisation Prescribing (Medical) Psychologist Lafayette, LA

Practice location

Address: 3312 Kaliste Saloom Rd Bldg 1, Lafayette, LA 70508-7449
Phone: (337) 534-0727
Fax: (337) 534-0737
Mailing address: 139 Teche Dr, Lafayette, LA 70503-2537

Authorised official

Name: John M Tracy
Title: Medical and Counseling Psychologist
Phone: (337) 534-0727

Registered specialties

Prescribing (Medical) Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TP0016X

Other Psychologist providers in Louisiana →

Registry record

NPI: 1124708458
Entity type: Organization
NPI issued: 21 Jul 2023
Record last updated: 21 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.