Dobusch, Tracey Michelle
Dobusch, Tracey Michelle is an sole proprietor health care provider with primary practice located at 150 Lange St , Lakeport CA 95453-3297. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dobusch, Tracey Michelle can be contacted via phone (707) 262-3019.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP9688 | California |
Profile Details
| NPI number | 1124649082 |
|---|---|
| LBN Legal business name | Dobusch, Tracey Michelle |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2020 |
| Last updated | May 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124649082 | NPPES |
| California | Other | SP9688 | SPEECH PATHOLOGY LICENSE |
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