Provider Demographics
NPI:1417137910
Name:STRAUB, TRACY MACGOWAN (MS)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:MACGOWAN
Last Name:STRAUB
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MONUMENT RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5074
Mailing Address - Country:US
Mailing Address - Phone:717-851-2722
Mailing Address - Fax:717-851-3127
Practice Address - Street 1:35 MONUMENT RD
Practice Address - Street 2:SUITE 202
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-851-2722
Practice Address - Fax:717-851-3127
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS