| Doctor Name: | DR. TRACY L HARTIG |
| NPI Number: | 1023313954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PY 6030 |
| Business Practice Address: | 158 E Summerlin St Bartow, FL - 338304641 |
| Business Phone Number: | 8635336471 |
| Business Fax Number: | |
| Mailing Address: | 158 E Summerlin St, BARTOW |
| State: | FL |
| Postal Code: | 338304641 |
| Phone Number: | 8635336471 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2011 |
| NPI Last Update Date: | 01/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PY 6030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |