Smith, Tracey Leone
Smith, Tracey Leone is an individual health care provider with primary practice located at 6001 Research Park Blvd , Madison WI 53719. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Smith, Tracey Leone can be contacted via phone (608) 263-6100.Contact Information
Primary practice address
6001 Research Park Blvd
Madison WI 53719
Phone: (608) 263-6100
Fax: (608) 833-6932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2548 | Wisconsin |
Profile Details
| NPI number | 1023084282 |
|---|---|
| LBN Legal business name | Smith, Tracey Leone |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023084282 | NPPES |
| Wisconsin | MEDICAID | 39142900 |
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