DR. TRACEY LYNN WALLACE (NPI# 1144483033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144483033 |
| Entity Type | Individual |
| Full Name | DR. TRACEY LYNN WALLACE |
| Credential | AU.D., CCC/A |
| Practice Address |
14101 Molly Berry Rd Brandywine MD 20613-2306 |
| Mailing Address |
6368 Coventry Way Suite #146 Clinton MD 20735-2256 |
| Practice Telephone | 3017933277 |
| Mailing Telephone | 3017933277 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2013-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 00718 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053748038 | Tracey Wallace | Counselor | 122 Wolf Tail Ct Sw, Atlanta, GA 30349-6547 | 2013-10-04 |
| 1770638165 | Tracey Wallace | Occupational Therapist | 5415 N Bloomfield Rd, Canandaigua, NY 14424-7964 | 2007-01-24 |
| 1265475206 | Tracey C Wallace | Family Medicine | 3525 Piedmont Rd Ne, Bldg 7-601, Atlanta, GA 30305-1578 | 2006-06-14 |
| Street Address |
14101 MOLLY BERRY RD |
| City | BRANDYWINE |
| State | MD |
| Zip Code | 20613-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176018 | Joseph Delonte Snider | Social Worker | 15912 Crain Hwy Ste B174, Brandywine, MD 20613 | 2018-03-01 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1619418001 | Delante Mckinnon | Home Health Aide | 13306 Craine Hwy, Brandywine, MD 20613 | 2017-03-17 |
| 1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
| 1053779116 | Medstar Surgery Center At Brandywine, LLC | Clinic/Center | 13950 Brandywine Road, Suite 100, Brandywine, MD 20613 | 2016-02-04 |
| 1649654948 | Innersense Behavioral Health, Inc. | Counselor | 13508 Stoney Creek Lane, Brandywine, MD 20613 | 2015-07-16 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1376829804 | Danielle Lasure-bryant | Counselor | 11600 Cedarville Road, Brandywine, MD 20613 | 2011-10-28 |
| 1164664405 | Adenike Olayinka Gbenle | Dentist | 7450 Clymer Dr, Brandywine, MD 20613 | 2009-04-01 |
| 1841466919 | Communit Support System 'css LLC'. | Home Health | 6307 Brechib Dr, Brandywine, MD 20613 | 2008-05-07 |
| Find all providers in zip 20613 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825856 | Breanna Collins | Audiologist-Hearing Aid Fitter | 11119 Rockville Pike Ste 210, Rockville, MD 20852-3200 | 2020-06-16 |
| 1457973513 | Amanda J Reed | Audiologist-Hearing Aid Fitter | 1700 Kingfisher Dr Ste 27, Frederick, MD 21701-4771 | 2020-05-12 |
| 1508419086 | Molly Eve Bishop | Audiologist-Hearing Aid Fitter | 1777 Reisterstown Rd Ste 118a, Baltimore, MD 21208-1317 | 2019-07-23 |
| 1093376915 | Daniel Eisenberg | Audiologist-Hearing Aid Fitter | 835 Rockville Pike Ste I, Rockville, MD 20852-1295 | 2019-06-21 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1184130577 | Ultimate Hearing Solutions IIi, LLC | Audiologist-Hearing Aid Fitter | 1220 A East Joppa Road, Suite 110, Towson, MD 21286 | 2017-12-20 |
| 1760994081 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 12108 Old Line Ctr, Waldorf, MD 20602-2553 | 2017-10-26 |
| 1417469727 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 8028 Ritchie Hwy Ste 311, Pasadena, MD 21122-1360 | 2017-10-26 |
| 1205348521 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 4000 Annapolis Rd Ste 202, Baltimore, MD 21227-3655 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BRANDYWINE |
| Zip Code | 20613 |
Please comment or provide details below to improve the information on DR. TRACEY LYNN WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.