Etheridge, Traci Marie

Etheridge, Traci Marie is an individual health care provider with primary practice located at 708 E Dixon Rd , Little Rock AR 72206-4114. 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. Etheridge, Traci Marie can be contacted via phone (501) 490-5837.

Contact Information

Primary practice address
708 E Dixon Rd Little Rock AR 72206-4114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1037 Arkansas

Profile Details

NPI number 1477734432
LBN Legal business name Etheridge, Traci Marie
Credentials CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 19 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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