| NPI | 1124708458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M TRACY Medical And Counseling Psychologist 337-534-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |