Bearden, Tracie

Bearden, Tracie is an individual health care provider with primary practice located at 121 N Park Ave , Montrose CO 81401-3768. 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. Bearden, Tracie can be contacted via phone (970) 615-7065.

Contact Information

Primary practice address
121 N Park Ave Montrose CO 81401-3768
Phone: (970) 615-7065
Fax: (970) 514-7457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP.0003775 Colorado

Profile Details

NPI number 1417244294
LBN Legal business name Bearden, Tracie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Nov 8th, 2021 - about 5 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 1417244294 NPPES
Colorado MEDICAID 9000180398

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