National Provider Identifier
Tracey Lyn Tyra, CCC/SLP
Tracey Lyn Tyra, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 266-0331.
Profile Overview
- NPI
- 1316246952
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- March 22, 2011
- Last Updated
- March 22, 2011
Practice Location
- 301 Seneca Ave
- Rochester, NY 14621-1515
Phone: (585) 266-0331
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1316246952
- Entity Type
- Individual
- Last Name
- Tyra
- First Name
- Tracey
- Middle Name
- Lyn
- Name Prefix
- Miss
- Credential
- CCC/SLP
- Mailing Street Address
- 301 Seneca Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1515
- Mailing Country
- US
- Mailing Phone
- (585) 266-0331
- Mailing Fax
- (585) 336-5576
- Practice Street Address
- 301 Seneca Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1515
- Practice Country
- US
- Practice Phone
- (585) 266-0331
- Practice Fax
- (585) 336-5576
- Enumeration Date
- March 22, 2011
- Last Updated
- March 22, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)