OrganizationActive
John M. Tracy, PHD, LLC
NPI 1124708458 · Prescribing (Medical) Psychologist · Lafayette, LA
Provider details
- NPI number
- 1124708458
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Authorized official
- John Tracy, Medical and Counseling Psychologist
Practice location
3312 Kaliste Saloom Rd Bldg 1
Lafayette, LA 70508-7449
Phone: (337) 534-0727
Fax: (337) 534-0737
Mailing address
139 Teche Dr
Lafayette, LA 70503-2537
Registry dates
- Enumerated
- 2023-07-21
- Last updated
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.