Goodspeed, Tracie B

Goodspeed, Tracie B is an sole proprietor health care provider with primary practice located at 1305 S Country Club Rd , Muskogee OK 74403-7802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Goodspeed, Tracie B can be contacted via phone (918) 668-5588.

Contact Information

Primary practice address
1305 S Country Club Rd Muskogee OK 74403-7802
Phone: (918) 668-5588
Fax: (918) 686-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1265683403
LBN Legal business name Goodspeed, Tracie B
Credentials M.ED., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2008
Last updated Dec 19th, 2011 - about 13 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.

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