Individual provider · Type 1 NPI
Tracy Patricia Smith, PSY.D.
Mental Health Counselor · Berkeley, CA
NPI number
1922207141
Active
Practice location
1950 Addison Street
Berkeley, CA 94704
Fax (510) 841-0167
Mailing address
2728 Durant Avenue
Berkeley, CA 94704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1922207141
Tracy Patricia Smith, PSY.D.'s National Provider Identifier is 1922207141, issued on Jul 17, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Jan 16, 2009.