Doctor Name: | MRS. SUZANNE KATHERINE MCLANE |
NPI Number: | 1366622763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 001814 |
Business Practice Address: | 33197 N Sears Blvd Grayslake, IL - 600302177 |
Business Phone Number: | 8473702177 |
Business Fax Number: | |
Mailing Address: | 33197 N Sears Blvd, GRAYSLAKE |
State: | IL |
Postal Code: | 600302177 |
Phone Number: | 8473702177 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 07/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001814 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
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 |