Doctor Name: | JANE MECHAM |
NPI Number: | 1508180415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MNS-CCC-SLP |
License Number: | KY-3310 |
Business Practice Address: | 233 Elkmont Dr Berea, KY - 404039559 |
Business Phone Number: | 8598934713 |
Business Fax Number: | |
Mailing Address: | 233 Elkmont Dr, BEREA |
State: | KY |
Postal Code: | 404039559 |
Phone Number: | 8598934713 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-3310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |