Doctor Name: | DR. TRACI SITZER |
NPI Number: | 1235388646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY22051 |
Business Practice Address: | 10535 Hospital Way Mental Health 116 Mather, CA - 956554200 |
Business Phone Number: | 9168437000 |
Business Fax Number: | |
Mailing Address: | 10535 Hospital Way, Mental Health 116 MATHER |
State: | CA |
Postal Code: | 956554200 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 09/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY22051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |