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 |