National Provider Identifier

Tracy Smith

Tracy Smith is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Webster, NY and a listed phone number of (585) 216-0000.

NPI 1194093419Webster, NYSpeech-Language Pathologist

Profile Overview

NPI
1194093419
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 01, 2011
Last Updated
December 01, 2011

Practice Location

  • 119 South Ave
  • Webster, NY 14580-3559

Phone: (585) 216-0000

Mailing Address

  • 27 Solmar Dr
  • Rochester, NY 14624-5231

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1194093419
Entity Type
Individual
Last Name
Smith
First Name
Tracy
Mailing Street Address
27 Solmar Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-5231
Mailing Country
US
Mailing Phone
(585) 889-1637
Practice Street Address
119 South Ave
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-3559
Practice Country
US
Practice Phone
(585) 216-0000
Enumeration Date
December 01, 2011
Last Updated
December 01, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)