Tracy Marie Ogundele, PsyD
Psychologist, Clinical in Sylmar, CA. Individual provider (NPI-1).
NPI number1982983136
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1982983136
- Entity type
- Individual (NPI-1)
- Name
- Tracy Marie Ogundele
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2011
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY29394 | CA | Yes |
Practice location
16350 Filbert StSylmar, CA 91342-1002
Phone 818-364-2152
Mailing address
16350 Filbert StSylmar, CA 91342-1002
Phone 818-364-2152
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