Ludtke, Traci

Ludtke, Traci is an individual health care provider with primary practice located at 1005 Midwestern Pkwy , Wichita Falls TX 76302-2211. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ludtke, Traci can be contacted via phone (940) 322-0771.

Contact Information

Primary practice address
1005 Midwestern Pkwy Wichita Falls TX 76302-2211
Phone: (940) 322-0771
Fax: (940) 766-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 37529 Texas
Other Service Providers / Specialist 174400000X Texas

Profile Details

NPI number 1730291055
LBN Legal business name Ludtke, Traci
Credentials LBSW & EIS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730291055 NPPES
Texas Other 00T22Y BCBS #

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