Sutton, Traci D

Sutton, Traci D is an sole proprietor health care provider with primary practice located at 1412 N Porter Ave , Norman OK 73071-6662. 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. Sutton, Traci D can be contacted via phone (405) 740-1667.

Contact Information

Primary practice address
1412 N Porter Ave Norman OK 73071-6662
Fax: (405) 321-8892
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2322 Oklahoma

Profile Details

NPI number 1437356862
LBN Legal business name Sutton, Traci D
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Mar 29th, 2010 - about 15 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 1437356862 NPPES
Oklahoma MEDICAID 100668310

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