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General NPI Number Information
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NPI Number | 1023904208
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Entity Type | Organization
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Legal Business Name | TRACY DEVEAU, PSYD, PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 80 WASHINGTON ST STE O54
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City | NORWELL
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State | MA
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Zip | 02061-1729
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Country | US
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Telephone | 508-318-8601
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Fax |
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Provider Business Mailing Address
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Address Line | 126 HIGH ST
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City | NORWELL
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State | MA
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Zip | 02061-1837
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Country | US
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Telephone | 623-866-8028
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRACY DEVEAU
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Credential |
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Telephone | 508-318-8601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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