NPI 1003240078

Tracy Leigh Chisholm, PSYD

Practitioner Clinical Psychologist West Linn, OR

Practice location

Address: 22400 Johnson Rd, West Linn, OR 97068-9722
Phone: (850) 294-5733

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 001273 (IA)

Other Psychologist providers in Oregon →

Registry record

NPI: 1003240078
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2013
Record last updated: 27 Aug 2013

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.