Organization
TRACY GEIST THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY DIANA GEIST M.S.,C.C.C-SLP/L (ADMINISTRATOR)
(610) 393-7980
Entity
Organization
Contact information
Practice address
945 WALNUT DR, PALMERTON, PA 18071-6569
(610) 393-7980
(610) 377-9125
Mailing address
945 WALNUT DR, PALMERTON, PA 18071-6569
(610) 393-7980
(610) 377-9125
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SL004744L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024266460001
—
PA
05
—
1024266460002
—
PA
Enumeration date
02/02/2011
Last updated
02/02/2011
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