Provider Demographics
NPI:1285695247
Name:CATER, TRACEY (AUD)
Entity type:Individual
Prefix:DR
First Name:TRACEY
Middle Name:
Last Name:CATER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:TRACEY
Other - Middle Name:
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:831 POPLAR ST
Mailing Address - Street 2:APT. 23
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3245
Mailing Address - Country:US
Mailing Address - Phone:704-433-9911
Mailing Address - Fax:
Practice Address - Street 1:1601 BRENNER AVE
Practice Address - Street 2:VAMC AUDIOLOGY
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2515
Practice Address - Country:US
Practice Address - Phone:704-638-3325
Practice Address - Fax:704-638-3859
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6374231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist