TRACY BLACK CECCHINI

SALT LAKE CITY, UT
NPI1174566954
Professional NameTRACY BLACK-CECCHINI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: UT  5848945-2501)
Additional Taxonomies103TC0700X Psychologist Clinical
(Licence: NY  013988-1)
Enumeration Date2006-06-13
Last Update Date2007-07-08
Business Address
DR. TRACY BLACK CECCHINI PH.D.
VA SLC HEALTHCARE SYSTEM 500 FOOTHILL DR.
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
DR. TRACY BLACK CECCHINI PH.D.
9227 STONE VIEW CV
SANDY, UT 84093-3204
Phone number: 801-983-2708