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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRACEY LYNN WALLACE, AU.D., CCC/A

Active

DR. TRACEY LYNN WALLACE, AU.D., CCC/A is a Audiologist-Hearing Aid Fitter healthcare provider located in BRANDYWINE, Maryland. NPI 1144483033 is currently active in the NPPES registry. Verify at CMS.

Audiologist-Hearing Aid Fitter · BRANDYWINE, MD

Registration Details

NPI Number
1144483033
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2008 (18.14119848985 yrs)
Last Updated
Oct 16, 2013
License
00718 (MD)

Practice Information

Address
14101 MOLLY BERRY RD
BRANDYWINE, MD, 206132306
Browse MD providers · Browse ZIP 20613
Phone
3017933277
Primary Specialty
Audiologist-Hearing Aid Fitter
237600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.