Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracey J Widrick, SLPCCCTSSLD

Individual provider Speech-Language Pathologist · NPI 1497222178

Tracey J Widrick, SLPCCCTSSLD is a Speech-Language Pathologist in Whitestone, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

15050 14th Rd
Whitestone, NY 11357-2609
Phone: (718) 767-0071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1497222178
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLPCCCTSSLD
Sole proprietorYes
NPI enumeratedOctober 31, 2018
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address7 Hunters Gln, Far Hills, NJ 07931-2215

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