Organization · Type 2 NPI

John M. Tracy, Phd, LLC

Prescribing (Medical) Psychologist · Lafayette, LA

NPI number 1124708458 Active

Practice location

3312 Kaliste Saloom Rd Bldg 1
Lafayette, LA 70508-7449

Fax (337) 534-0737

Mailing address

139 Teche Dr
Lafayette, LA 70503-2537

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1124708458

John M. Tracy, Phd, LLC's National Provider Identifier is 1124708458, issued on Jul 21, 2023. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Lafayette, LA. The record was last updated on Jul 21, 2023.