DR. Tracy Leigh Chisholm, PSY.D.

NPI #1003240078 in West Linn, Oregon

Provider Information

NPI Number: 1003240078
Entity Type: Individual
Name: DR. Tracy Leigh Chisholm, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Aug 27, 2013
Last Updated: Aug 27, 2013

Practice Location

Address: 22400 JOHNSON RD
City: West Linn
State: Oregon
ZIP Code: 97068-9722
Phone: (850) 294-5733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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