Tracie Nicole Adams
Speech-Language Pathologist, in Louisville, KY. Individual provider (NPI-1).
NPI number1275804148
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1275804148
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracie Nicole Adams
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2012
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA 8475 | FL | Yes |
| 235Z00000X | Speech-Language Pathologist, | 139594 | KY | |
| 235Z00000X | Speech-Language Pathologist, | 13972 | OH | |
| 235Z00000X | Speech-Language Pathologist, | KY 2985 | KY |
Practice location
8810 Chetwood Trace DrLouisville, KY 40291-5134
Phone 850-499-4227
Mailing address
2384 Placid DrFort Walton Beach, FL 32547-2579
Phone 850-499-4227
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