Doctor Name: | LINDSEY MCMAHON |
NPI Number: | 1104231398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 140.011634 |
Business Practice Address: | 4735 Willow Springs Rd La Grange, IL - 605256130 |
Business Phone Number: | 7083526900 |
Business Fax Number: | |
Mailing Address: | Po Box 504469, SAINT LOUIS |
State: | MO |
Postal Code: | 631504469 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/25/2014 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 140.011634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |