MEDICARE: TRACY HALL PLUMLEY MA,CCC/SLP

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
1	235Z00000X	Speech-Language Pathologist	2799	NC

General Provider Information

NPI Number	:	1316894868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY HALL PLUMLEY MA,CCC/SLP

Provider Business Mailing Address
First Line	:	3239 PARAMOUNT WAY
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28405-6457
Country	:	US
Telephone Number	:	910-602-4970
Fax Number	:

Provider Business Practice Location Address
First Line	:	3925 ROGER HAYNES DR
Second Line	:
City	:	CASTLE HAYNE
State	:	NC
Zip	:	28429-5681
Country	:	US
Telephone Number	:	910-602-4970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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