Doctor Name: | MISS COURTNEY MACKEY |
NPI Number: | 1235379728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP, CCC-CFY |
License Number: | 4319 |
Business Practice Address: | 1721 Ebenezer Rd Suite 225 Rock Hill, SC - 297324103 |
Business Phone Number: | 8033291520 |
Business Fax Number: | 8033665027 |
Mailing Address: | 1721 Ebenezer Rd, Suite 225 ROCK HILL |
State: | SC |
Postal Code: | 297324103 |
Phone Number: | 8033291520 |
Fax Number: | 8033665027 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |