National Provider Identifier
Tracy Ann Mc Donough, M.S.CCC-SLP
Tracy Ann Mc Donough, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Churchville, NY and a listed phone number of (585) 723-2140.
Profile Overview
- NPI
- 1619935087
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 03, 2006
- Last Updated
- July 05, 2023
Practice Location
- 139 Fairbanks RD
- Churchville, NY 14428-9782
Phone: (585) 723-2140
Mailing Address
- 53 Ramblewood Dr
- North Chili, NY 14514-1022
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1619935087
- Entity Type
- Individual
- Last Name
- Mc Donough
- First Name
- Tracy
- Middle Name
- Ann
- Credential
- M.S.CCC-SLP
- Mailing Street Address
- 53 Ramblewood Dr
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514-1022
- Mailing Country
- US
- Mailing Phone
- (585) 594-5951
- Practice Street Address
- 139 Fairbanks RD
- Practice City
- Churchville
- Practice State
- NY
- Practice ZIP Code
- 14428-9782
- Practice Country
- US
- Practice Phone
- (585) 723-2140
- Enumeration Date
- May 03, 2006
- Last Updated
- July 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)