TRACIE TEMPLE
NPI 1003120205
Psychologist - Forensic in Long Beach, CA
Active since July 29, 2010
About Tracie Temple NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACIE TEMPLE (NPI 1003120205) is an individual forensic provider in Long Beach, California and active in the NPI registry since July 2010.
NPPES Registry Identity
NPI1003120205
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameTRACIE TEMPLE
Location Address411 W SEASIDE WAY UNIT 1403Long Beach, CA 90802-7988
Mailing Address411 W Seaside Way Unit 1403Long Beach, CA 90802-7988 · (562) 595-3099
Phone(562) 595-3099
Sole ProprietorYes
Enumeration DateJuly 29, 2010
✔ NPI 1003120205 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
411 W SEASIDE WAY UNIT 1403, Long Beach, CA 90802
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003120205, enumerated as an "individual" on July 29, 2010.
The provider is located at 411 W SEASIDE WAY UNIT 1403 LONG BEACH, CA 90802 and the phone number is (562) 595-3099.
Psychologist with taxonomy code 103TF0200X and a focus in Forensic.
