Randolph, Tracy Leigh

Randolph, Tracy Leigh is an individual health care provider with primary practice located at 4129 Shady Dr Nw , Lilburn GA 30047-2647. 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. Randolph, Tracy Leigh can be contacted via phone (770) 925-9543.

Contact Information

Primary practice address
4129 Shady Dr Nw Lilburn GA 30047-2647
Phone: (770) 925-9543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1124008305
LBN Legal business name Randolph, Tracy Leigh
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2006
Last updated Jul 8th, 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.

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