Dr Traci Brooke Surber, PSYD is a
Psychologist - Clinical based in Leesburg, Ohio. Dr Traci Brooke Surber is licensed to practice in Ohio (license number 7570) and her current practice location is
7515 State Route 28, Leesburg, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 603-6947.
NPI number for Dr Traci Brooke Surber is 1508676925 and her current mailing address is 7515 State Route 28, Leesburg, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508676925.
Healthcare Provider's Profile
Full Name | Dr Traci Brooke Surber |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 7515 State Route 28, Leesburg, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508676925
- Provider Enumeration Date: 01/08/2025
- Last Update Date: 01/08/2025
Medical Identifiers
Medical identifiers for Dr Traci Brooke Surber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508676925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 7570 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Traci Brooke Surber is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Traci Brooke Surber, PSYD 7515 State Route 28, Leesburg, OH 45135-9105 Ph: (937) 603-6947 | Dr Traci Brooke Surber, PSYD 7515 State Route 28, Leesburg, OH 45135-9105 Ph: (937) 603-6947 |
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