MEDICARE: TRACY PROTTI PHD PSYCHOLOGICAL AND CONSULTATIVE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1205608676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACY PROTTI PHD PSYCHOLOGICAL AND CONSULTATIVE SERVICES

Provider Business Mailing Address
First Line	:	3014 DAUPHINE ST STE A
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-6755
Country	:	US
Telephone Number	:	662-487-6775
Fax Number	:

Provider Business Practice Location Address
First Line	:	3014 DAUPHINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-6754
Country	:	US
Telephone Number	:	662-487-6775
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	TRACY PROTTI
Credential	:	PH.D.
Telephone Number	:	662-487-6774

Provider Enumeration Date	:	10/27/2023
Last Update Date	:	03/17/2026

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