Active NPIIndividual providerSole proprietor

Kathleen M Tracy, SLP

Speech-Language Pathologist, in Brewster, New York

NPI Number1790939296
Practice location
1030 Drewville RD, Brewster, NY 10509-2513
Fax
—
Last updated
November 11, 2008

Kathleen M. Tracy is a Speech-Language Pathologist, based in Brewster, NY. Kathleen M. Tracy practices in Brewster, NY and has the professional credentials of SLP. The NPI Number for Kathleen M. Tracy is 1790939296 and holds a License No. 008196-1 (NY). The current practice location address for Kathleen M. Tracy is 1030 Drewville RD, Brewster, NY 10509-2513 and can be reached out via phone at 845-279-6765.

Provider Profile Details

NPI Number
1790939296
Provider Name
Kathleen M. Tracy
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
1030 Drewville RD, Brewster, NY 10509-2513
Phone Number
845-279-6765
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 11, 2008
Last Update Date
November 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 Drewville RD
Brewster, NY 10509-2513
Zip
10509-2513
Phone Number
845-279-6765
Brewster, NY 10509Get directions →

Provider Business Mailing Address Details

Address
1030 Drewville RD
Brewster, NY 10509-2513
City
Brewster
State
NY
Zip
10509-2513
Phone Number
845-279-6765

License Information

License Number
008196-1
License State
NY
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 Kathleen M Tracy, SLP?

The NPI number of Kathleen M Tracy, SLP is 1790939296. It was assigned on November 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Tracy, SLP?

Kathleen M Tracy, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 008196-1.

Where does Kathleen M Tracy, SLP practice?

The practice location is 1030 Drewville RD, Brewster, NY 10509-2513. The office can be reached at 845-279-6765 (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 1790939296 directly on the NPPES registry website.

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