Provider Demographics
NPI:1841572252
Name:STRICKLAND-ALLEN, TRACY N (PHD)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:N
Last Name:STRICKLAND-ALLEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:N
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1659 KAUTZ RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-6085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1659 KAUTZ RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-6085
Practice Address - Country:US
Practice Address - Phone:630-476-7827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
IL2302232103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool