Individual
HALEY GATLIN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4003 EMERALD SPRING PL, LOUISVILLE, KY 40245-2804
(270) 875-2333
Mailing address
4003 EMERALD SPRING PL, LOUISVILLE, KY 40245-2804
(270) 875-2333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
167104
KY
235Z00000X
Speech-Language Pathologist
46002734A
IN
Other
Enumeration date
05/01/2015
Last updated
02/09/2017
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