Laura Korenstra Tracey
Cognitive & Behavioral Psychologist
125 N Lake St
Manistique
, Michigan 49854-1234
Laura Korenstra Tracey
Cognitive & Behavioral Psychologist
125 N Lake St
Manistique
, Michigan 49854-1234
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Laura Korenstra Tracey
- 125 N Lake St
- Manistique, MI
- Zip : 49854-1234
- Phone :
Second Address
- Laura Korenstra Tracey
- 125 N Lake St
- Manistique, MI
- Zip : 49854-1234
- Phone : (906) 341-5214
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist |
National Provider Identifier
| NPI | 1023273596 |
|---|---|
| Provider Name | Laura Korenstra Tracey |
| First Address | Manistique, MI 49854-1234 |
| Second Address | Manistique, MI 49854-1234 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2008 |
| Last Update Date | 24/07/2008 |
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.