SearchMichigan235Z00000X

Tracy Fate, MA, CCC-SLP

NPI 1952819856 · on the registry since 2018

Practice

Address
1908 W Milham Ave
Portage, MI 49024
Phone
(269) 459-6212
Clinicians at this address
15

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan