Provider Demographics
NPI:1275780058
Name:HAMILTON, TRACI ROCHELLE (AUD)
Entity Type:Individual
Prefix:
First Name:TRACI
Middle Name:ROCHELLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:TRACI
Other - Middle Name:
Other - Last Name:MICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:433 FRYE FARM RD STE 5
Mailing Address - Street 2:CENTRAL MEDICAL ARTS BLDG.
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7920
Mailing Address - Country:US
Mailing Address - Phone:724-539-3750
Mailing Address - Fax:724-539-3751
Practice Address - Street 1:433 FRYE FARM RD STE 5
Practice Address - Street 2:CENTRAL MEDICAL ARTS BLDG.
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7920
Practice Address - Country:US
Practice Address - Phone:724-539-3750
Practice Address - Fax:724-539-3751
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006084231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist