Condra, Traci M.

Condra, Traci M. is an individual health care provider with primary practice located at 12160 Pebblebrooke Ct , Indianapolis IN 46236-8944. 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. Condra, Traci M. can be contacted via phone (317) 417-6420.

Contact Information

Primary practice address
12160 Pebblebrooke Ct Indianapolis IN 46236-8944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22004227A Indiana

Profile Details

NPI number 1588874549
LBN Legal business name Condra, Traci M.
Credentials CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Feb 29th, 2008 - about 18 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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