Doctor Name: | FAITH ANNETTE MCCLARY |
NPI Number: | 1083700108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | 573 |
Business Practice Address: | 52 W 8th St Parsons, TN - 383634656 |
Business Phone Number: | 7318476343 |
Business Fax Number: | |
Mailing Address: | 7625 Mint Leaf Dr, ANTIOCH |
State: | TN |
Postal Code: | 370134611 |
Phone Number: | 6159415169 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |