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

Mark Ronald Tracy

Individual provider Psychologist · NPI 1134922479

Mark Ronald Tracy is a Psychologist in Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

5808 Oak Knoll Dr
Lansing, MI 48911-5051
Phone: (989) 859-3705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361007861 (MI)

Record details

NPI number1134922479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address5808 Oak Knoll Dr, Lansing, MI 48911-5051

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