Individual provider · Type 1 NPI

Tracey Hitchen Myatt, MD

Pediatric Adolescent Medicine Physician · Providence, RI

NPI number 1225078744 Active

Practice location

154 Waterman St
Providence, RI 02906-3116

Call (401) 383-4411 Map

Fax (401) 383-6010

Mailing address

36 Methyl St
Providence, RI 02906-4902

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XM.D.11993 (RI)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1225078744

Tracey Hitchen Myatt, MD's National Provider Identifier is 1225078744, issued on Jun 7, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Providence, RI. The record was last updated on Mar 7, 2023.