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
Phone: (317) 417-6420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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