| Doctor Name: | DR. TRACEY LYNN GUERTIN |
| NPI Number: | 1326104126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., H.S.P. |
| License Number: | 7680 |
| Business Practice Address: | 148 Worcester St West Boylston, MA - 015831751 |
| Business Phone Number: | 5088351735 |
| Business Fax Number: | 5088351736 |
| Mailing Address: | 148 Worcester St, WEST BOYLSTON |
| State: | MA |
| Postal Code: | 015831751 |
| Phone Number: | 5088351735 |
| Fax Number: | 5088351736 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 7680 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |