Doctor Name: | TRACY N BARTLETT |
NPI Number: | 1154760676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SL003607L |
Business Practice Address: | 113 N 20th St Camp Hill, PA - 170113803 |
Business Phone Number: | 7175800302 |
Business Fax Number: | |
Mailing Address: | 358 Teaberry Dr, GREENCASTLE |
State: | PA |
Postal Code: | 172251589 |
Phone Number: | 7174978575 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL003607L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |