Provider Demographics
NPI:1730063330
Name:LONDON, TRACY (LAPC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:LONDON
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ALTOONA PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1265
Mailing Address - Country:US
Mailing Address - Phone:412-228-8489
Mailing Address - Fax:209-680-4844
Practice Address - Street 1:1 ALTOONA PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1265
Practice Address - Country:US
Practice Address - Phone:412-228-8489
Practice Address - Fax:209-680-4844
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional