Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Dern, PSYCH

Individual provider Forensic Psychologist · NPI 1215121678

Tracy Dern, PSYCH is a Forensic Psychologist in Coalinga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

24511 W Jayne Ave
Coalinga, CA 93210-9503
Phone: (559) 935-4301
Fax: (559) 935-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychologist (primary) Taxonomy 103TF0200X · Licence PSY20534 (CA)

Record details

NPI number1215121678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCH
Sole proprietorYes
NPI enumeratedAugust 29, 2007
Last updated in NPPESAugust 29, 2007

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