Peckins, Susan Tracey

Peckins, Susan Tracey is an individual health care provider with primary practice located at 47 Cedar St , Kings Park NY 11754-2509. 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 / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Peckins, Susan Tracey can be contacted via phone (631) 269-3426.

Contact Information

Primary practice address
47 Cedar St Kings Park NY 11754-2509
Phone: (631) 269-3426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 989-1 New York
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 14000005288 New York

Profile Details

NPI number 1467624312
LBN Legal business name Peckins, Susan Tracey
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - about 18 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 1467624312 NPPES
New York Other 989-1 AUDIOLOGY LICENCE

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