Tredennick, Tracy

Tredennick, Tracy is an individual health care provider with primary practice located at 865 Eisenhower Blvd. , Johnstown PA 15904-3327. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pediatrics. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tredennick, Tracy can be contacted via phone (814) 266-8840.

Contact Information

Primary practice address
865 Eisenhower Blvd. Johnstown PA 15904-3327
Phone: (814) 266-8840
Fax: (814) 266-2176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015802 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X CW105802 Pennsylvania

Profile Details

NPI number 1316116767
LBN Legal business name Tredennick, Tracy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated Sep 2nd, 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 1316116767 NPPES
Pennsylvania MEDICAID 1007708200003
Pennsylvania MEDICAID 1025856980001

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