Palm, Tracy Leane
Palm, Tracy Leane is an sole proprietor health care provider with primary practice located at 6761 Stage Rd , Bartlett TN 38134-3867. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Palm, Tracy Leane can be contacted via phone (901) 379-8827.Contact Information
Primary practice address
6761 Stage Rd
Bartlett TN 38134-3867
Phone: (901) 379-8827
Fax: (901) 244-6153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | LBA0000000266 | Tennessee |
Profile Details
| NPI number | 1639392046 |
|---|---|
| LBN Legal business name | Palm, Tracy Leane |
| Credentials | M.S., B.C.B.A, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Nov 20th, 2023 - about 3 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 | 1639392046 | NPPES |
| Other | 205510099 | IRS |
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