Dr. Tracie Mertz Mcconnell
Psychologist Health Service Clinical Psychologist Group Psychotherapist and 4 more
651 S Main St
Greenville
, South Carolina 29601-2504
Dr. Tracie Mertz Mcconnell
Psychologist Health Service Clinical Psychologist Group Psychotherapist and 4 more
651 S Main St
Greenville
, South Carolina 29601-2504
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Health Service
- Group Psychotherapist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Tracie Mertz Mcconnell
- 300 E Mcbee Ave
- Greenville, SC
- Zip : 29601-2842
- Phone :
Second Address
- Dr. Tracie Mertz Mcconnell
- 651 S Main St
- Greenville, SC
- Zip : 29601-2504
- Fax : (864) 454-1130
- Phone : (864) 241-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 686 | SC |
| N | 103TC0700X | Clinical Psychologist | 686 | SC |
| Y | 102L00000X | Psychologist | 686 | SC |
| Y | 103T00000X | Psychologist | 686 | SC |
| N | 103TA0700X | Adult Development & Aging Psychologist | 686 | SC |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 686 | SC |
| N | 103G00000X | Clinical Psychologist | 686 | SC |
| N | 103TC0700X | Clinical Psychologist | 686 | SC |
| N | 103TH0100X | Health Service | 686 | SC |
| N | 103TP2701X | Group Psychotherapist | 686 | SC |
| N | 103TR0400X | Rehabilitation Psychologist | 686 | SC |
National Provider Identifier
| NPI | 1003968116 |
|---|---|
| Provider Name | Dr. Tracie Mertz Mcconnell |
| First Address | Greenville, SC 29601-2842 |
| Second Address | Greenville, SC 29601-2504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2007 |
| Last Update Date | 08/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 680016185 | MEDICARE RAILROAD (01) | SC |
| PS0262 | (05) | SC |
| Q31838 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.