Provider Demographics
NPI:1467748780
Name:KINCER-HOWARD, TRACY LABRINA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LABRINA
Last Name:KINCER-HOWARD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 NEW RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1285
Mailing Address - Country:US
Mailing Address - Phone:859-351-3056
Mailing Address - Fax:
Practice Address - Street 1:1341 NEW RIDGE CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1285
Practice Address - Country:US
Practice Address - Phone:859-351-3056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1318235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist