MRS. TRACEY MICHELLE DOBUSCH MS, CCC-SLP
NPI 1124649082
Speech-Language Pathologist in Lakeport, CA

Active since May 01, 2020
150 LANGE ST, LAKEPORT, CA 95453(707) 262-3019 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Tracey Michelle Dobusch Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACEY MICHELLE DOBUSCH MS, CCC-SLP (NPI 1124649082) is an individual speech-language pathologist provider in Lakeport, California, licensed in California (SP9688) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1124649082
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. TRACEY MICHELLE DOBUSCHCredential: MS, CCC-SLP
Location Address150 LANGE STLakeport, CA 95453-3297
Mailing Address7155 Kelsey Creek DrKelseyville, CA 95451-8024
Sole ProprietorYes
Enumeration DateMay 1, 2020
NPPES CertifiedMay 1, 2020
NPI 1124649082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CA · SP9688
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
150 LANGE ST, Lakeport, CA 95453

Other Identifiers 1

OtherSP9688CA · Speech Pathology License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
150 LANGE ST
LAKEPORT, CA 95453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Dobusch's NPI number?

The NPI number for Tracey Dobusch is 1124649082. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Tracey Dobusch located?

Tracey Dobusch practices at 150 Lange St, Lakeport, CA 95453. The listed phone number is (707) 262-3019.

What is Tracey Dobusch's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Tracey Dobusch was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.