Doctor Name: | MS. TRACY LYNNE THOMPSON-TORMASCHY |
NPI Number: | 1033133392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 363-11-1-96-120 |
Business Practice Address: | 2125 Sims St Ste 3 Dickinson, ND - 586016561 |
Business Phone Number: | 7014832955 |
Business Fax Number: | 7014835322 |
Mailing Address: | 9980 28th St Sw, GLADSTONE |
State: | ND |
Postal Code: | 586309354 |
Phone Number: | 7012271062 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 363-11-1-96-120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |