Krout-Watson, Tracy Lynn

Krout-Watson, Tracy Lynn is an individual health care provider with primary practice located at 355 Cedar Springs Rd , Spartanburg SC 29302-4628. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Krout-Watson, Tracy Lynn can be contacted via phone (864) 577-7500.

Contact Information

Primary practice address
355 Cedar Springs Rd Spartanburg SC 29302-4628
Fax: (864) 577-7621
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 204050 South Carolina

Profile Details

NPI number 1942549571
LBN Legal business name Krout-Watson, Tracy Lynn
Credentials PSY.S., NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2013
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942549571 NPPES
South Carolina Other 204050 SC STATE BOARD OF EDUCATION EDUCATOR CERTIFICATE
South Carolina Other 32208 SC STATE BOARD OF EDUCATION EDUCATOR CERTIFICATE

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