Individual provider · Type 1 NPI
Tracy Lynn Carlis, PhD
Ph.D. Medical Genetics · Encino, CA
NPI number
1730225640
Active
Practice location
5000 Hayvenhurst Ave
Encino, CA 91436-1115
Fax (818) 703-8050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ph.D. Medical Genetics Primary | 170100000X | PSY16888 (CA) |
Ph.D. Medical Genetics: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
About NPI 1730225640
Tracy Lynn Carlis, PhD's National Provider Identifier is 1730225640, issued on Jan 29, 2007. The primary taxonomy on file is Ph.D. Medical Genetics (170100000X), and the practice location is in Encino, CA. The record was last updated on Jul 8, 2007.