Doctor Name: | MRS. TERESA E MCKENNA |
NPI Number: | 1437271830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 11545 |
Business Practice Address: | 4011 W Plano Pkwy Suite 118 Plano, TX - 750935629 |
Business Phone Number: | 2144939324 |
Business Fax Number: | 9725990420 |
Mailing Address: | 4011 W Plano Pkwy, Suite 118 PLANO |
State: | TX |
Postal Code: | 750935629 |
Phone Number: | 2144939324 |
Fax Number: | 9725990420 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |