Doctor Name: | JAMES M MCMAHON |
NPI Number: | 1396159612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CFY-SLP |
License Number: | 3964154 |
Business Practice Address: | 8014 Bethel Rd Arpin, WI - 544109558 |
Business Phone Number: | 9062820096 |
Business Fax Number: | |
Mailing Address: | 3509 Harmony Ln Apt 7, STEVENS POINT |
State: | WI |
Postal Code: | 544811378 |
Phone Number: | 9062820096 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3964154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |