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

Tracie Treharne

Individual provider Speech-Language Pathologist · NPI 1154714954

Tracie Treharne is a Qualified Speech Language Pathologist in Maplewood, Minnesota. Qualified in 2000, 26 years ago. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2015

Practice location Address checks out

2495 Maplewood Dr N Ste 313
Maplewood, MN 55109-1985
Phone: (651) 770-8884
Fax: (651) 770-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence LICC-216 (MN)

Record details

NPI number1154714954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2015
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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