| Doctor Name: | KANDACE MACKEEN |
| NPI Number: | 1720206857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SLP-1574 |
| Business Practice Address: | 945 Forest St Dover, DE - 199043498 |
| Business Phone Number: | 3026721500 |
| Business Fax Number: | 3026721714 |
| Mailing Address: | 945 Forest St, DOVER |
| State: | DE |
| Postal Code: | 199043498 |
| Phone Number: | 3026721500 |
| Fax Number: | 3026721714 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-1574 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| 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 |