Dr Tracy Black Cecchini Iii, PHD - Psychologist in Salt Lake City, UT

Dr Tracy Black Cecchini Iii, PHD is a Psychologist - Clinical based in Salt Lake City, Utah. Dr Tracy Black Cecchini Iii is licensed to practice in Utah (license number 5848945-2501) and her current practice location is Va Slc Healthcare System, 500 Foothill Dr., Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 582-1565.

NPI number for Dr Tracy Black Cecchini Iii is 1174566954 and her current mailing address is 9227 Stone View Cv, Sandy, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174566954.

Contact Information

Dr Tracy Black Cecchini Iii, PHD
Va Slc Healthcare System, 500 Foothill Dr.,
Salt Lake City, UT 84148-0001
(801) 582-1565
(801) 584-5680

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Healthcare Provider's Profile

Full NameDr Tracy Black Cecchini Iii
GenderFemale
SpecialityPsychologist - Clinical
LocationVa Slc Healthcare System, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174566954
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Tracy Black Cecchini Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174566954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 5848945-2501 (Utah)Primary
103TC0700XPsychologist - Clinical 013988-1 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tracy Black Cecchini Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tracy Black Cecchini Iii, PHD
9227 Stone View Cv,
Sandy, UT 84093-3204

Ph: (801) 983-2708
Dr Tracy Black Cecchini Iii, PHD
Va Slc Healthcare System, 500 Foothill Dr.,
Salt Lake City, UT 84148-0001

Ph: (801) 582-1565

Reviews and Comments


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