Forrester, Tracy L
Forrester, Tracy L is an individual health care provider with primary practice located at 475 Pleasant St , Worcester MA 01609-1858. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Forrester, Tracy L can be contacted via phone (508) 791-6310.Contact Information
Primary practice address
475 Pleasant St
Worcester MA 01609-1858
Phone: (508) 791-6310
Fax: (508) 791-6309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 703 | Massachusetts |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | 703 | Massachusetts |
Profile Details
| NPI number | 1326016973 |
|---|---|
| LBN Legal business name | Forrester, Tracy L |
| Credentials | MS, CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 21st, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326016973 | NPPES |
| Massachusetts | Other | AD0058 | BCBS |
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