Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracie Pendarvis

Individual provider Developmental Therapist · NPI 1215200191

Tracie Pendarvis is a Developmental Therapist in Bossier City, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

5604 Pampus Ln
Bossier City, LA 71112-4951
Phone: (318) 458-1834
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1215200191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2012
Last updated in NPPESFebruary 22, 2012

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