Tracy Lefebvre Roulet
Clinical Child & Adolescent Psychologist
509 W 10th St
Antioch
, California 94509-1653
Tracy Lefebvre Roulet
Clinical Child & Adolescent Psychologist
509 W 10th St
Antioch
, California 94509-1653
(805) 325-1845
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Tracy Lefebvre Roulet
- 5523 Alaska Dr
- Concord, CA
- Zip : 94521-4009
- Phone : (805) 325-1845
Second Address
- Tracy Lefebvre Roulet
- 509 W 10th St
- Antioch, CA
- Zip : 94509-1653
- Phone : (925) 777-9540
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1124165212 |
|---|---|
| Provider Name | Tracy Lefebvre Roulet |
| First Address | Concord, CA 94521-4009 |
| Second Address | Antioch, CA 94509-1653 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| 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.