Doctor Name: | MRS. ANNA MCCONNELL |
NPI Number: | 1194155424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 7101002502 |
Business Practice Address: | 1524 Portabella Trl Mount Pleasant, MI - 488584006 |
Business Phone Number: | 9897722967 |
Business Fax Number: | |
Mailing Address: | 990 W Blue Grass Rd, MOUNT PLEASANT |
State: | MI |
Postal Code: | 488589566 |
Phone Number: | 9897725875 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2013 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101002502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |