Doctor Name: | MRS. JERILYN MCDADE |
NPI Number: | 1609171750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-CCC/SLP |
License Number: | 8745 |
Business Practice Address: | 118 E Cold Hollow Farms Dr Mooresville, NC - 281176725 |
Business Phone Number: | 9176479558 |
Business Fax Number: | |
Mailing Address: | 118 E Cold Hollow Farms Dr, MOORESVILLE |
State: | NC |
Postal Code: | 281176725 |
Phone Number: | 9176479558 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2011 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |