Mrs. Tracey Renee Sridharan
School Psychologist
2043 N 64th Dr
Phoenix
, Arizona 85035-3424
Mrs. Tracey Renee Sridharan
School Psychologist
2043 N 64th Dr
Phoenix
, Arizona 85035-3424
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Tracey Renee Sridharan
- 2513 W Park St
- Phoenix, AZ
- Zip : 85041-6488
- Phone :
Second Address
- Mrs. Tracey Renee Sridharan
- 2043 N 64th Dr
- Phoenix, AZ
- Zip : 85035-3424
- Phone : (623) 691-5518
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 3415771 | AZ |
National Provider Identifier
| NPI | 1073654067 |
|---|---|
| Provider Name | Mrs. Tracey Renee Sridharan |
| First Address | Phoenix, AZ 85041-6488 |
| Second Address | Phoenix, AZ 85035-3424 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/02/2007 |
| Last Update Date | 08/07/2007 |
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.