Collinsworth, Traci Hydrick

Collinsworth, Traci Hydrick is an sole proprietor health care provider with primary practice located at 14057 Dunnbarton Dr , Gulfport MS 39503-4998. 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. Collinsworth, Traci Hydrick can be contacted via phone (228) 236-7698.

Contact Information

Primary practice address
14057 Dunnbarton Dr Gulfport MS 39503-4998
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3190 Mississippi

Profile Details

NPI number 1750772067
LBN Legal business name Collinsworth, Traci Hydrick
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2015
Last updated Feb 9th, 2015 - about 10 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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