Active NPIIndividual providerSole proprietor

Tracey J Widrick, SLP CCC TSSLD

Speech-Language Pathologist, in Whitestone, New York

NPI Number1497222178
Practice location
15050 14TH RD, Whitestone, NY 11357-2609
Fax
—
Last updated
April 20, 2020

Tracey J Widrick is a Speech-Language Pathologist, based in Whitestone, NY. Tracey J Widrick practices in Whitestone, NY and has the professional credentials of SLP CCC TSSLD. The NPI Number for Tracey J Widrick is 1497222178. The current practice location address for Tracey J Widrick is 15050 14TH RD, Whitestone, NY 11357-2609 and can be reached out via phone at 718-767-0071.

Provider Profile Details

NPI Number
1497222178
Provider Name
Tracey J Widrick
Credential
SLP CCC TSSLD
Provider Entity Type
Individual
Gender
Female
Address
15050 14TH RD, Whitestone, NY 11357-2609
Phone Number
718-767-0071
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 31, 2018
Last Update Date
April 20, 2020
Certification Date
April 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
15050 14TH RD
Whitestone, NY 11357-2609
Zip
11357-2609
Phone Number
718-767-0071
Whitestone, NY 11357Get directions →

Provider Business Mailing Address Details

Address
7 Hunters Gln
Far Hills, NJ 07931-2215
City
Far Hills
State
NJ
Zip
07931-2215
Phone Number
516-376-8396

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 Tracey J Widrick, SLP CCC TSSLD?

The NPI number of Tracey J Widrick, SLP CCC TSSLD is 1497222178. It was assigned on October 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Tracey J Widrick, SLP CCC TSSLD?

Tracey J Widrick, SLP CCC TSSLD is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Tracey J Widrick, SLP CCC TSSLD practice?

The practice location is 15050 14TH RD, Whitestone, NY 11357-2609. The office can be reached at 718-767-0071 (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 1497222178 directly on the NPPES registry website.

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