Tracy Dern, PSYCH

NPI #1215121678 in Coalinga, California

Provider Information

NPI Number: 1215121678
Entity Type: Individual
Name: Tracy Dern, PSYCH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Credential: PSYCH
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 24511 W JAYNE AVE
City: Coalinga
State: California
ZIP Code: 93210-9503
Phone: (559) 935-4301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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