Mcgough, Traci

Mcgough, Traci is an sole proprietor health care provider with primary practice located at 245 Mcclain Dr , West Melbourne FL 32904-5105. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mcgough, Traci can be contacted via phone (321) 543-8048.

Contact Information

Primary practice address
245 Mcclain Dr West Melbourne FL 32904-5105
Phone: (321) 543-8048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS1127 Florida

Profile Details

NPI number 1669878211
LBN Legal business name Mcgough, Traci
Credentials ED.S, NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2014
Last updated Nov 10th, 2014 - about 11 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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