Doctor Name: | MRS. TRACEY-ANN A GEORGE |
NPI Number: | 1811208838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 20 N Main St Norwalk, CT - 068542656 |
Business Phone Number: | 2098386508 |
Business Fax Number: | 2038527021 |
Mailing Address: | 306 5th St, 2nd Floor BRIDGEPORT |
State: | CT |
Postal Code: | 066071083 |
Phone Number: | 2039099919 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |