Khoury, Tracey L.

Khoury, Tracey L. is an individual health care provider with primary practice located at 88 Fox St Suite101, Madawaska ME 04756-1352. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Khoury, Tracey L. can be contacted via phone (207) 728-6341.

Contact Information

Primary practice address
88 Fox St Suite101 Madawaska ME 04756-1352
Phone: (207) 728-6341
Fax: (207) 728-7762
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1710222005
LBN Legal business name Khoury, Tracey L.
Credentials BHP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2012
Last updated Nov 28th, 2012 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710222005 NPPES
Maine MEDICAID 103850000

Popular Providers