Schulden, Tracy Lee Dively

Schulden, Tracy Lee Dively is an individual health care provider with primary practice located at 1401 Severn St Ste 201 , Baltimore MD 21230-1740. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schulden, Tracy Lee Dively can be contacted via phone (410) 752-5525.

Contact Information

Primary practice address
1401 Severn St Ste 201 Baltimore MD 21230-1740
Phone: (410) 752-5525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07829 Maryland

Profile Details

NPI number 1467435875
LBN Legal business name Schulden, Tracy Lee Dively
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 27th, 2011 - about 15 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 1467435875 NPPES
Maryland Other 65080 VALUE OPTIONS
Maryland Other T5140008 VALUE OPTIONS
Maryland Other 54688502 VALUE OPTIONS
Maryland Other 198041000 VALUE OPTIONS
Maryland MEDICAID 212150600Q VALUE OPTIONS
Maryland Other KC29UN VALUE OPTIONS

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