| NPI | 1487959938 |
|---|---|
| Doing Business As | JOHN TRACY CENTER |
| Entity Type | Organization |
| Authorized Contact | CATHLEEN MARY MATHES President & CEO 213-748-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 252Y00000X Early Intervention Provider Agency (Licence: CA 191801651) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2019-09-25 |