Pourciau, Tracy W.
Pourciau, Tracy W. is an sole proprietor health care provider with primary practice located at 7341 Capistrano Dr , Shreveport LA 71105-5011. 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. Pourciau, Tracy W. can be contacted via phone (318) 218-7384.Contact Information
Primary practice address
7341 Capistrano Dr
Shreveport LA 71105-5011
Phone: (318) 218-7384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4869 | Louisiana |
Profile Details
| NPI number | 1396935623 |
|---|---|
| LBN Legal business name | Pourciau, Tracy W. |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 1st, 2007 - about 18 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 | 1396935623 | NPPES |
| Louisiana | MEDICAID | 1302309 |
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