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Contact Information

TRACINE R HALLUM, LEP
401 19TH ST
BAKERSFIELD, CA93301-4907
 Phone: 661-873-5110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRACINE R HALLUM · (Female)

NPI Number 1174040679
Status Active
Credentials LEP
Entity Individual
Enumeration date 08/25/2017
Last updated 08/25/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 3148
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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