Dr. Tracy Leigh Chisholm
Clinical Psychologist
22400 Johnson Rd
West Linn
, Oregon 97068-9722
Dr. Tracy Leigh Chisholm
Clinical Psychologist
22400 Johnson Rd
West Linn
, Oregon 97068-9722
(850) 294-5733
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Tracy Leigh Chisholm
- 22400 Johnson Rd
- West Linn, OR
- Zip : 97068-9722
- Phone : (850) 294-5733
Second Address
- Dr. Tracy Leigh Chisholm
- 22400 Johnson Rd
- West Linn, OR
- Zip : 97068-9722
- Phone : (850) 294-5733
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Is Dr. Tracy Leigh Chisholm a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 001273 | IA |
| Y | 103TC0700X | Clinical Psychologist | 001273 | IA |
National Provider Identifier
| NPI | 1003240078 |
|---|---|
| Provider Name | Dr. Tracy Leigh Chisholm |
| First Address | West Linn, OR 97068-9722 |
| Second Address | West Linn, OR 97068-9722 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2013 |
| Last Update Date | 27/08/2013 |
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.