Doctor Name: | MRS. CLAIRE DUGAN MCCLINTOCK |
NPI Number: | 1184852402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 46001968A |
Business Practice Address: | 12845 Parrish Ave Julie Berg Speech Pathology, P.c. Cedar Lake, IN - 46303 |
Business Phone Number: | 2193745624 |
Business Fax Number: | |
Mailing Address: | 510 Washington Park Blvd, MICHIGAN CITY |
State: | IN |
Postal Code: | 463602053 |
Phone Number: | 2192216465 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46001968A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |