Moreno, Tricia L

Moreno, Tricia L is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4460 , South Bend IN 46601-1168. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Moreno, Tricia L can be contacted via phone (574) 235-1010.

Contact Information

Primary practice address
100 Navarre Pl Ste 4460 South Bend IN 46601-1168
Phone: (574) 235-1010
Fax: (574) 232-2064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X Indiana
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002162A Indiana

Profile Details

NPI number 1023172186
LBN Legal business name Moreno, Tricia L
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Nov 28th, 2023 - about 3 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 1023172186 NPPES
Indiana MEDICAID 200133740

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