Provider Demographics
NPI:1386912509
Name:BOND, TRACY HAYES (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:HAYES
Last Name:BOND
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 OLD HIGHWAY 431 STE C
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9474
Mailing Address - Country:US
Mailing Address - Phone:256-517-9277
Mailing Address - Fax:256-517-9279
Practice Address - Street 1:327 OLD HIGHWAY 431 STE C
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9474
Practice Address - Country:US
Practice Address - Phone:256-517-9277
Practice Address - Fax:256-517-9279
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1467235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist