Roberts, Tracy

Roberts, Tracy is an sole proprietor health care provider with primary practice located at 756 Waterland Ct , Orlando FL 32828-8116. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Roberts, Tracy can be contacted via phone (407) 595-1477.

Contact Information

Primary practice address
756 Waterland Ct Orlando FL 32828-8116
Phone: (407) 595-1477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 9670 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SA 9670 Florida

Profile Details

NPI number 1841472941
LBN Legal business name Roberts, Tracy
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2007
Last updated Apr 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841472941 NPPES
Florida MEDICAID 8926964 00

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