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NPI Code Detail

MEDICARE: TRACI WRIGHT REDDING

MEDICARE: TRACI WRIGHT REDDING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist101450TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265529358
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI WRIGHT REDDING
Provider Business Mailing Address
First Line : 1601 N COLLINS BLVD
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3520
Country : US
Telephone Number : 972-470-5855
Fax Number : 972-470-5875
Provider Business Practice Location Address
First Line : 1601 N COLLINS BLVD
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3520
Country : US
Telephone Number : 972-470-5855
Fax Number : 972-470-5875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 12/21/2021

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Directions to “ TRACI WRIGHT REDDING ” Practice Location

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