| Tracey Corbett Inc | |
|
11125 N La Canada Dr Unit 161 Oro Valley AZ 85737-9404 | |
| (520) 257-1173 | |
| Not Available |
| Full Name | Tracey Corbett Inc |
|---|---|
| Speciality | Social Worker |
| Location | 11125 N La Canada Dr Unit 161, Oro Valley, Arizona |
| Authorized Official Name and Position | Tracey Corbett (OWNER) |
| Authorized Official Contact | 3033498586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Corbett Inc Po Box 91428 Tucson AZ 85752-1428 Ph: (520) 257-1173 | Tracey Corbett Inc 11125 N La Canada Dr Unit 161 Oro Valley AZ 85737-9404 Ph: (520) 257-1173 |
| NPI Number | 1215582887 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Medicare PECOS PAC ID | 6406185925 |
|---|---|
| Medicare Enrollment ID | O20190909003791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215582887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracey Ann Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932612231 PECOS PAC ID: 1254694177 Enrollment ID: I20180406000177 |
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