Individual
MS. TRACI KAY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2305 FLEMING DR, WEST LAFAYETTE, IN 47906-5115
(574) 817-0178
Mailing address
2305 FLEMING DR, WEST LAFAYETTE, IN 47906-5115
(574) 817-0178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12111817
IN
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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