Individual provider · Type 1 NPI

Tracy Jaclyn Kisner, PSY.D.

Psychologist · New Hyde Park, NY

NPI number 1568693752 Active

Practice location

1981 Marcus Ave, Suite C119
New Hyde Park, NY 11042-1038

Call (516) 390-3525 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X018203 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1568693752

Tracy Jaclyn Kisner, PSY.D.'s National Provider Identifier is 1568693752, issued on Aug 5, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in New Hyde Park, NY. The record was last updated on Aug 5, 2009.