Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACEY LEE ALYSSON, PHD
Active Sole ProprietorDR. TRACEY LEE ALYSSON, PHD is a Clinical Psychologist healthcare provider located in TANNERSVILLE, Pennsylvania. NPI 1427109289 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TANNERSVILLE, PA
Registration Details
- NPI Number
- 1427109289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2007 (19.532586951051 yrs)
- Last Updated
- Nov 9, 2015
- Licenses
-
NH260 (NH)PS017890 (PA)3193 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2937 ROUTE 611TANNERSVILLE, PA, 183729990Browse PA providers · Browse ZIP 18372
- Phone
- 5702695581
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.