Active NPIIndividual provider

Ms. Tracey L Miller, MA CCC-SLP

Speech-Language Pathologist, in Springfield, Massachusetts

NPI Number1699935171
Practice location
807 Wilbraham RD, Springfield, MA 01109-2067
Fax
413-782-0800
Last updated
April 22, 2020

Tracey Leavens Miller is a Speech-Language Pathologist, based in Springfield, MA. Tracey Leavens Miller practices in Springfield, MA and has the professional credentials of MA CCC-SLP. The NPI Number for Tracey Leavens Miller is 1699935171 and holds a License No. 004103 (CT). The current practice location address for Tracey Leavens Miller is 807 Wilbraham RD, Springfield, MA 01109-2067 and can be reached out via phone at 413-782-1800 and via fax at 413-782-0800.

Provider Profile Details

NPI Number
1699935171
Provider Name
Tracey Leavens Miller
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
807 Wilbraham RD, Springfield, MA 01109-2067
Phone Number
413-782-1800
Fax Number
413-782-0800
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2008
Last Update Date
April 22, 2020
Certification Date
April 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
807 Wilbraham RD
Springfield, MA 01109-2067
Zip
01109-2067
Phone Number
413-782-1800
Fax Number
413-782-0800
Springfield, MA 01109Get directions →

Provider Business Mailing Address Details

Address
1 Emerson Dr
Windsor, CT 06095-3204
City
Windsor
State
CT
Zip
06095-3204
Phone Number
860-640-6317

License Information

License Number (1)
004103
License State (1)
CT
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
9216
License State (2)
MA
Taxonomy (2)
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 Miller, MA CCC-SLP?

The NPI number of Ms. Tracey L Miller, MA CCC-SLP is 1699935171. It was assigned on June 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Tracey L Miller, MA CCC-SLP?

Ms. Tracey L Miller, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 004103.

Where does Ms. Tracey L Miller, MA CCC-SLP practice?

The practice location is 807 Wilbraham RD, Springfield, MA 01109-2067. The office can be reached at 413-782-1800 (phone) or 413-782-0800 (fax).

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 1699935171 directly on the NPPES registry website.

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