Mastorakis, Tracie Carol

Mastorakis, Tracie Carol is an sole proprietor health care provider with primary practice located at 30 Old Lyman Rd , South Hadley MA 01075-2630. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Mastorakis, Tracie Carol can be contacted via phone (413) 231-8315.

Contact Information

Primary practice address
30 Old Lyman Rd South Hadley MA 01075-2630
Phone: (413) 231-8315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1811300346
LBN Legal business name Mastorakis, Tracie Carol
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2014
Last updated Jun 2nd, 2014 - about 12 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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