Zolltheis, Tracy Diane
Zolltheis, Tracy Diane is an individual health care provider with primary practice located at 6855 W. Meadows Loop East , Laveen AZ 85339. 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. Zolltheis, Tracy Diane can be contacted via phone (602) 304-2020.Contact Information
Primary practice address
6855 W. Meadows Loop East
Laveen AZ 85339
Phone: (602) 304-2020
Fax: (602) 304-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP5053 | Arizona |
Profile Details
| NPI number | 1467728873 |
|---|---|
| LBN Legal business name | Zolltheis, Tracy Diane |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Mar 29th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467728873 | NPPES |
| Arizona | MEDICAID | 1669650388 |
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