Active NPIIndividual providerSole proprietor

Ms. Tracey L Callahan, MS

Speech-Language Pathologist, in South Boston, Massachusetts

NPI Number1083808109
Practice location
73 Old Harbor St # 2, South Boston, MA 02127-2924
Fax
—
Last updated
August 14, 2023

Tracey Lee Callahan is a Speech-Language Pathologist, based in South Boston, MA. Tracey Lee Callahan practices in South Boston, MA and has the professional credentials of MS. The NPI Number for Tracey Lee Callahan is 1083808109. The current practice location address for Tracey Lee Callahan is 73 Old Harbor St # 2, South Boston, MA 02127-2924 and can be reached out via phone at 617-419-0424.

Provider Profile Details

NPI Number
1083808109
Provider Name
Tracey Lee Callahan
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
73 Old Harbor St # 2, South Boston, MA 02127-2924
Phone Number
617-419-0424
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2007
Last Update Date
August 14, 2023
Certification Date
January 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 Old Harbor St # 2
South Boston, MA 02127-2924
Zip
02127-2924
Phone Number
617-419-0424
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
73 Old Harbor St # 2
South Boston, MA 02127-2924
City
South Boston
State
MA
Zip
02127-2924
Phone Number
617-419-0424

License Information

Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Tracey L Callahan, MS?

The NPI number of Ms. Tracey L Callahan, MS is 1083808109. It was assigned on August 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Tracey L Callahan, MS?

Ms. Tracey L Callahan, MS is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Ms. Tracey L Callahan, MS practice?

The practice location is 73 Old Harbor St # 2, South Boston, MA 02127-2924. The office can be reached at 617-419-0424 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083808109 directly on the NPPES registry website.

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