Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRACI L SISSON
Active
Individual
TRACI L SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.5041
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098593
—
OH
05
—
0154132000
—
WV
Enumeration date
08/13/2012
Last updated
04/24/2014
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