National Provider Identifier
Tracy Lorraine Larson, PSY.D.
Tracy Lorraine Larson, PSY.D. is listed in the NPPES registry with a primary specialty of Psychologist in Newark, NY and a listed phone number of (315) 331-6030.
Profile Overview
- NPI
- 1689630675
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- April 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 211 West Ave
- Newark, NY 14513-1336
Phone: (315) 331-6030
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1689630675
- Entity Type
- Individual
- Last Name
- Larson
- First Name
- Tracy
- Middle Name
- Lorraine
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 211 West Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1336
- Mailing Country
- US
- Mailing Phone
- (315) 331-6030
- Mailing Fax
- (315) 331-9119
- Practice Street Address
- 211 West Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1336
- Practice Country
- US
- Practice Phone
- (315) 331-6030
- Practice Fax
- (315) 331-9119
- Enumeration Date
- April 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)