Selby, Tracy Lynn

Selby, Tracy Lynn is an individual health care provider with primary practice located at 625 W Elm Ave , Hanover PA 17331-5125. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Selby, Tracy Lynn can be contacted via phone (717) 632-4900.

Contact Information

Primary practice address
625 W Elm Ave Hanover PA 17331-5125
Phone: (717) 632-4900
Fax: (717) 632-4313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CW014106 Pennsylvania

Profile Details

NPI number 1093800971
LBN Legal business name Selby, Tracy Lynn
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1093800971 NPPES
Pennsylvania MEDICAID 1007446410021

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