Black, Tracy Diane
Black, Tracy Diane is an individual health care provider with primary practice located at 1609 N Dixie Ave Ste 114 , Elizabethtown KY 42701-7494. 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. Black, Tracy Diane can be contacted via phone (270) 827-4652.Contact Information
Primary practice address
1609 N Dixie Ave Ste 114
Elizabethtown KY 42701-7494
Phone: (270) 827-4652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 173256 | Kentucky |
Profile Details
| NPI number | 1255869434 |
|---|---|
| LBN Legal business name | Black, Tracy Diane |
| Credentials | M.S. CF-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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