| Doctor Name: | DR. TRACY A LOYSEN |
| NPI Number: | 1194813527 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 703 |
| Business Practice Address: | 79 Main St Suite 10 Montpelier, VT - 056023173 |
| Business Phone Number: | 8022233483 |
| Business Fax Number: | |
| Mailing Address: | 2809 North St, MONTPELIER |
| State: | VT |
| Postal Code: | 056024486 |
| Phone Number: | 8022231234 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |