Medeiros, Tracey Ann
Medeiros, Tracey Ann is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. 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. Medeiros, Tracey Ann can be contacted via phone (757) 953-2960.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (757) 953-2960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3371 | Massachusetts |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2846 | North Carolina |
Profile Details
| NPI number | 1972802163 |
|---|---|
| LBN Legal business name | Medeiros, Tracey Ann |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2011 |
| Last updated | Mar 28th, 2011 - about 14 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 | 1972802163 | NPPES |
| North Carolina | Other | 2846 | SLP LICENSURE |
| North Carolina | Other | 3371 | SLP LICENSURE |
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