Doctor Name: | MRS. MAGGIE KEELE MILLRANEY |
NPI Number: | 1457614976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 4764 |
Business Practice Address: | 852 Interstate Dr Manchester, TN - 373553104 |
Business Phone Number: | 9317285479 |
Business Fax Number: | |
Mailing Address: | 206 Blain Cir, SHELBYVILLE |
State: | TN |
Postal Code: | 371606138 |
Phone Number: | 9315815956 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |