Doctor Name: | MRS. TRACY RENEE HULL |
NPI Number: | 1124407630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 1409 S Division St Guthrie, OK - 730445009 |
Business Phone Number: | 4053153544 |
Business Fax Number: | |
Mailing Address: | 7159 Ashley Trl, EDMOND |
State: | OK |
Postal Code: | 730252563 |
Phone Number: | 4053153544 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2015 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |