Doherty, Tracey Aileen

Doherty, Tracey Aileen is an sole proprietor health care provider with primary practice located at 5405 Babcock St Ne , Palm Bay FL 32905-5020. 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. Doherty, Tracey Aileen can be contacted via phone (321) 951-2202.

Contact Information

Primary practice address
5405 Babcock St Ne Palm Bay FL 32905-5020
Phone: (321) 951-2202
Fax: (321) 951-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7922 Florida

Profile Details

NPI number 1770854150
LBN Legal business name Doherty, Tracey Aileen
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2012
Last updated Jun 29th, 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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