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TRACEY LEE GANGLUFF MSCCCSLP NPI 1801127816


NPI Information

NPI: 1801127816
Provider Name: TRACEY LEE GANGLUFF, MS,CCC,SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
51738 SAGECREST DR
GRANGER, IN
ZIP 46530
Phone: (574) 339-5959
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Tracey Lee Gangluff, MS,CCC,SLP is a speech language pathologist in Granger, IN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Tracey Lee Gangluff, MS,CCC,SLP NPI is 1801127816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51738 SAGECREST DR
GRANGER, IN
ZIP 46530-887
Phone: (574) 339-5959

The enumeration date for this NPI number is 1/15/2010 and was last updated on 4/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist01101056INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1266550BMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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