MEDICARE: DR. TRACI LEE DRAKE PHD

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	PY00003290	WA

General Provider Information

NPI Number	:	1760443444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACI LEE DRAKE PHD

Provider Business Mailing Address
First Line	:	9601 STEILACOOM BLVD SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-7212
Country	:	US
Telephone Number	:	253-756-2991
Fax Number	:	253-756-2879

Provider Business Practice Location Address
First Line	:	869 N SUNRISE BLVD
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-5532
Country	:	US
Telephone Number	:	253-279-5121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	01/08/2026

Similar Medicare Providers

1154289825 — ASCEND PSYCHOLOGY SERVICES PLLC
Practice Location Address:

869 N SUNRISE BLVD
CAMANO ISLAND, WA
98282-5532

Practice Phone: 253-279-5121
Practice Fax:

1508994898 — DR. PHYLLIS GINA MERLINO DDS
Practice Location Address:

268 TODT HILL RD
STATEN ISLAND, NY
10314-5532

Practice Phone: 718-761-2090
Practice Fax:

1841557931 — FARRINGTON HOUSE LLC
Practice Location Address:

1970 FARRINGTON DR
MERRITT ISLAND, FL
32952-5532

Practice Phone: 321-208-7955
Practice Fax: 321-208-7956

1740622042 — DONATO TERRONE MD
Practice Location Address:

710 BAIR ISLAND RD , APT #313
REDWOOD CITY, CA
94063-5532

Practice Phone: 650-995-6092
Practice Fax:

1962282640 — LATIN LIVING SENIOR CARE LLC
Practice Location Address:

1970 FARRINGTON DR
MERRITT ISLAND, FL
32952-5532

Practice Phone: 321-205-3265
Practice Fax:

1760297469 — SSBP MANAGEMENT LLC
Practice Location Address:

1970 FARRINGTON DR
MERRITT ISLAND, FL
32952-5532

Practice Phone: 321-594-0924
Practice Fax:

Directions to “ DR. TRACI LEE DRAKE PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.