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NPI Code Detail

MEDICARE: MRS. TRACY LYNN KROUT-WATSON PSY.S., NCSP

MEDICARE:  MRS. TRACY LYNN KROUT-WATSON  PSY.S., NCSP
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
1103TS0200XSchool Psychologist204050SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1204050OTHERSCSC STATE BOARD OF EDUCATION EDUCATOR CERTIFICATE
232208OTHERNATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST

General Provider Information

NPI Number : 1942549571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACY LYNN KROUT-WATSON PSY.S., NCSP
Provider Business Mailing Address
First Line : 355 CEDAR SPRINGS RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-4628
Country : US
Telephone Number : 864-577-7500
Fax Number : 864-577-7621
Provider Business Practice Location Address
First Line : 355 CEDAR SPRINGS RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-4628
Country : US
Telephone Number : 864-577-7500
Fax Number : 864-577-7621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2013
Last Update Date : 02/01/2013

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