Doctor Name: | TENA LENN MCNAMARA |
NPI Number: | 1568613503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AU.D. |
License Number: | 146004324 |
Business Practice Address: | I S U Speech And Hearing Clinic Campus Box 4720 Normal, IL - 617900001 |
Business Phone Number: | 3094388641 |
Business Fax Number: | 3094385221 |
Mailing Address: | I S U Speech And Hearing Clinic, Campus Box 4720 NORMAL |
State: | IL |
Postal Code: | 617900001 |
Phone Number: | 3094388641 |
Fax Number: | 3094385221 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146004324 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |