Tracy Lyn Bajadek, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Stroudsburg, PA
NPI 1235239781 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235239781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL007601 (PA)
- Practice address
- 1219 N 5TH St
Stroudsburg, PA 18360-2646 - Phone
- (570) 421-2232
- Fax
- (570) 421-1825
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL007601 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Speech Center, LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL007601 | PA | Yes |
Addresses
Primary practice location
1219 N 5TH St
Stroudsburg, PA 18360-2646
Mailing address
203 Pine Grove Rd
Newfoundland, PA 18445-2143
Phone (570) 676-4483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008740560001 | Medicaid | PA |
Other providers in Stroudsburg, PA
- Aspire Counseling and Consulting, Inc.
- Aspire Steps LLC
- Neelam Attri
- Megan Averett
- Lauren Bair
- Lucie Bandelac
- Dustan Allen Barabas
- Juanita Shanae Barrett-Wolak
- Kimberly Ann Barry
- Jennifer Bartell
All providers in Stroudsburg, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.