Trace, Bobbette Lou

Trace, Bobbette Lou is an sole proprietor health care provider with primary practice located at 2529 Lena Ct , Minden NV 89423-7021. 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. Trace, Bobbette Lou can be contacted via phone (814) 795-1635.

Contact Information

Primary practice address
2529 Lena Ct Minden NV 89423-7021
Phone: (814) 795-1635
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL007402 Pennsylvania
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-1366 Nevada

Profile Details

NPI number 1457474702
LBN Legal business name Trace, Bobbette Lou
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Apr 18th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457474702 NPPES
Pennsylvania Other 001444546 HIGHMARK BLUE CROSS
Pennsylvania MEDICAID 1010232180002 HIGHMARK BLUE CROSS

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