Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TRACEY BOSTICK
NPI 1821057746
Speech-Language Pathologist in Camilla, GA

Active since March 20, 2006
3667 FOX RUN RD, CAMILLA, GA 31730(229) 881-2049(229) 336-7167 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracey Bostick NPPES

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

TRACEY BOSTICK (NPI 1821057746) is an individual speech-language pathologist provider in Camilla, Georgia, licensed in Georgia (SLP004155) and active in the NPI registry since March 2006.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1821057746
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTRACEY BOSTICK
Location Address3667 FOX RUN RDCamilla, GA 31730-3268
Mailing Address3667 Fox Run RdCamilla, GA 31730-3268 · (229) 881-2049 · Fax (229) 336-7167
Fax(229) 336-7167
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1821057746 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 GA · SLP004155
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.

3667 FOX RUN RD, Camilla, GA 31730

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Speech-Language Pathologist
3667 FOX RUN RD
CAMILLA, GA 31730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821057746, enumerated as an "individual" on March 20, 2006.

The provider is located at 3667 FOX RUN RD CAMILLA, GA 31730 and the phone number is (229) 881-2049.

Speech-Language Pathologist with taxonomy code 235Z00000X.