Healthcare Provider Details

I. General information

NPI: 1881523488
Provider Name (Legal Business Name): TRACEY COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 N FLOWING WELLS RD
TUCSON AZ
85705-3099
US

IV. Provider business mailing address

5001 N SHANNON RD
TUCSON AZ
85705-1048
US

V. Phone/Fax

Practice location:
  • Phone: 520-696-8861
  • Fax:
Mailing address:
  • Phone: 520-696-8861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3624953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: