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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACIE CACCAVALE, PH.D.

Active Sole Proprietor

TRACIE CACCAVALE, PH.D. is a Clinical Psychologist healthcare provider located in PINE BUSH, New York. NPI 1720499148 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PINE BUSH, NY

Registration Details

NPI Number
1720499148
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2014 (12.235765648554 yrs)
Last Updated
Sep 18, 2024
License
021270 (NY)
Sole Proprietor
Yes

Practice Information

Address
78 QUANNACUT RD
PINE BUSH, NY, 125665431
Browse NY providers · Browse ZIP 12566
Phone
8458730104
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in PINE BUSH, NY

Name Credential NPI
DR. CATHERINE MIRIAM WANKO-NEWMAN PSY.D. 1124162441
ALLYSON HAVILL PHD 1124227269
DR. KELLI ANN MELAND-LEWIS PHD 1558513721
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.