Provider Demographics
NPI:1871656306
Name:VOLKMAN, TRACY MARIE (AUD)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:MARIE
Last Name:VOLKMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-3132
Mailing Address - Country:US
Mailing Address - Phone:169-913-3277
Mailing Address - Fax:916-913-2327
Practice Address - Street 1:101 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3132
Practice Address - Country:US
Practice Address - Phone:916-913-3277
Practice Address - Fax:916-913-2327
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2331231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist