Provider Demographics
NPI:1841942653
Name:STINCHFIELD, TRACY ANNE (EDD, LPC, BC-TMH)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:ANNE
Last Name:STINCHFIELD
Suffix:
Gender:F
Credentials:EDD, LPC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 STATE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2607
Mailing Address - Country:US
Mailing Address - Phone:717-740-0133
Mailing Address - Fax:
Practice Address - Street 1:100 HIGHLANDS DR STE 205
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7692
Practice Address - Country:US
Practice Address - Phone:717-625-0025
Practice Address - Fax:717-625-0009
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-23
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional