Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY ADELL NEAL-WALDEN, PH.D.
ActiveHealth Psychologist · EDWARDS, CA
Registration Details
- NPI Number
- 1962612762
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (18.913061127094 yrs)
- Last Updated
- Feb 16, 2012
- License
-
35-580 (MS)
Practice Information
- Address
-
30 NIGHTINGALE RDMDOS/CCEDWARDS, CA, 935240001Browse CA providers · Browse ZIP 93524
- Phone
- 6612772183
- Primary Specialty
-
Health Psychologist
103TH0004X
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.