TRACY LANE

ORANGE, CA
NPI1508615741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TF0200X Psychologist Forensic
Additional Taxonomies103TB0200X Psychologist Cognitive & Behavioral
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
TRACY LANE
301 CITY DRIVE SOUTH
ORANGE, CA 92868
Phone number: 347-840-1111
Mailing Address
TRACY LANE
2555 MAIN ST APT 1097
IRVINE, CA 92614-3211
Phone number: 347-840-1111