National Provider Identifier
Tracy Dixon, M.A.CCC/SLP
Tracy Dixon, M.A.CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 394-5070.
Profile Overview
- NPI
- 1871885152
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 05, 2011
- Last Updated
- May 05, 2011
Practice Location
- 3220 Middle Cheshire RD
- Canandaigua, NY 14424-2470
Phone: (585) 394-5070
Mailing Address
- 620 Westfall RD
- Rochester, NY 14620-4610
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1871885152
- Entity Type
- Individual
- Last Name
- Dixon
- First Name
- Tracy
- Credential
- M.A.CCC/SLP
- Provider Other Last Name
- Wegman
- Provider Other First Name
- Tracy
- Provider Other Credential Text
- M.A.CCC/SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 620 Westfall RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4610
- Mailing Country
- US
- Practice Street Address
- 3220 Middle Cheshire RD
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2470
- Practice Country
- US
- Practice Phone
- (585) 394-5070
- Practice Fax
- (585) 394-9136
- Enumeration Date
- May 05, 2011
- Last Updated
- May 05, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)