Bajadek, Tracy Lyn
Bajadek, Tracy Lyn is an individual health care provider with primary practice located at 1219 N 5Th St , Stroudsburg PA 18360-2646. 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. Bajadek, Tracy Lyn can be contacted via phone (570) 421-2232.Contact Information
Primary practice address
1219 N 5Th St
Stroudsburg PA 18360-2646
Phone: (570) 421-2232
Fax: (570) 421-1825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL007601 | Pennsylvania |
Profile Details
| NPI number | 1235239781 |
|---|---|
| LBN Legal business name | Bajadek, Tracy Lyn |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1235239781 | NPPES |
| Pennsylvania | MEDICAID | 1008740560001 |
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