Dr. Tracey Burrell, Ph.D.
Psychologist, Clinical in Westlake Village, CA. Individual provider (NPI-1).
NPI number1811079809
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1811079809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tracey Burrell
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2006
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | Psy16091 | CA | Yes |
Practice location
1014 S Westlake Blvd # 14-243Westlake Village, CA 91361-3108
Phone 805-242-2429 · Fax 310-870-7197
Mailing address
1014 S Westlake Blvd # 14-243Westlake Village, CA 91361-3108
Phone 805-242-2429 · Fax 310-870-7197
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