Sashidharan, Tracy Lynn
Sashidharan, Tracy Lynn is an individual health care provider with primary practice located at 9 Junction Dr W Ste 3 , Glen Carbon IL 62034-2931. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sashidharan, Tracy Lynn can be contacted via phone (618) 710-4123.Contact Information
Primary practice address
9 Junction Dr W Ste 3
Glen Carbon IL 62034-2931
Phone: (618) 710-4123
Fax: (618) 731-4082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 018.0007365 | Illinois |
Profile Details
| NPI number | 1013245737 |
|---|---|
| LBN Legal business name | Sashidharan, Tracy Lynn |
| Credentials | L.C.P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2009 |
| Last updated | Feb 16th, 2024 - about 9 months 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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