| Doctor Name: | DR. TRACY MICHELLE WEYER |
| NPI Number: | 1124365614 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 100 Prison Rd Represa, CA - 956713000 |
| Business Phone Number: | 9169858610 |
| Business Fax Number: | |
| Mailing Address: | 100 Prison Rd, REPRESA |
| State: | CA |
| Postal Code: | 956713000 |
| Phone Number: | 9169858610 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2013 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |