Patricia J Tracy M.S., CCC-SLP

NPI 1295864064 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1295864064
Gender Female
Enumeration Date 03/05/2007
Last Updated 03/23/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
7A GINGER CREEK VILLAGE DRIVE
GLEN CARBON IL, 62034-4916, US
Phone (618) 656-7157
Fax (618) 656-0026
Business Location
7A GINGER CREEK VILLAGE DRIVE
GLEN CARBON IL, 62034-0188, US
Phone (618) 656-7157
Fax (678) 656-0266
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146003318
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According to our database, Patricia J Tracy M.S., CCC-SLP NPI is 1295864064, taxonomy code is 235Z00000X and license number is 146003318, license state is located at Illinois. Patricia J Tracy M.S., CCC-SLP physically located at 7a Ginger Creek Village Drive, Glen Carbon IL, 62034-4916. NPI Number Patricia J Tracy M.S., CCC-SLP has the Individual type.

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1295864064 NPI number is provided on an as is basis without warranty of any kind. 1295864064 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia J Tracy M.S., CCC-SLP are for informational purposes only.