Provider Demographics
NPI:1780849927
Name:PERKEY, TRACY WREN (MCD,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:WREN
Last Name:PERKEY
Suffix:
Gender:F
Credentials:MCD,CCC-SLP
Other - Prefix:MISS
Other - First Name:TRACY
Other - Middle Name:DAWN
Other - Last Name:WREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD,CCC-SLP
Mailing Address - Street 1:2804 CARRIAGE HILL DR
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-8361
Mailing Address - Country:US
Mailing Address - Phone:870-897-0208
Mailing Address - Fax:
Practice Address - Street 1:1606 PINE GROVE LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:AR
Practice Address - Zip Code:72432-9304
Practice Address - Country:US
Practice Address - Phone:870-578-5426
Practice Address - Fax:870-578-6005
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist