Roller, Tracy Nelson

Roller, Tracy Nelson is an sole proprietor health care provider with primary practice located at 615 Ridge Rd , Roxboro NC 27573-4629. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Roller, Tracy Nelson can be contacted via phone (336) 599-2121.

Contact Information

Primary practice address
615 Ridge Rd Roxboro NC 27573-4629
Phone: (336) 599-2121
Fax: (336) 503-5625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10675 North Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202006887 Virginia

Profile Details

NPI number 1871984195
LBN Legal business name Roller, Tracy Nelson
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2015
Last updated Feb 9th, 2015 - about 11 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 1871984195 NPPES
North Carolina Other 10675 STATE OF NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANG PATHOLOGIST AND AUD
North Carolina Other 14050523 STATE OF NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANG PATHOLOGIST AND AUD

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