Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracey Prokop, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1023385127

Tracey Prokop, CCC/SLP is a Speech-Language Pathologist in Baldwinsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

6839 Jayhawk Cir
Baldwinsville, NY 13027-1741
Phone: (315) 638-6399
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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 · Licence 006512-1 (NY)

Record details

NPI number1023385127
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC/SLP
Sole proprietorYes
NPI enumeratedNovember 18, 2011
Last updated in NPPESNovember 18, 2011

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