MEDICARE: TRACY N STRICKLAND-ALLEN 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	103TS0200X	School Psychologist		AZ
2	103TS0200X	School Psychologist	2302232	IL

General Provider Information

NPI Number	:	1841572252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY N STRICKLAND-ALLEN PHD

Provider Business Mailing Address
First Line	:	1659 KAUTZ RD
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-6085
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1659 KAUTZ RD
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-6085
Country	:	US
Telephone Number	:	630-476-7827
Fax Number	:

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

Provider Enumeration Date	:	09/12/2011
Last Update Date	:	07/21/2022

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Directions to “ TRACY N STRICKLAND-ALLEN PHD” Practice Location

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