Provider Demographics
NPI:1851633838
Name:DOSSETT, TRACY HARPER (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:HARPER
Last Name:DOSSETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:TRACY
Other - Middle Name:ANN
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JD
Mailing Address - Street 1:10641 HILLARY CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2979
Mailing Address - Country:US
Mailing Address - Phone:225-387-3325
Mailing Address - Fax:225-387-0140
Practice Address - Street 1:10641 HILLARY CT
Practice Address - Street 2:SUITE 1
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2979
Practice Address - Country:US
Practice Address - Phone:225-387-3325
Practice Address - Fax:225-387-0140
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1230103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling