Doctor Name: | JOHN MCEWEN |
NPI Number: | 1790193415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CFY-SLP |
License Number: | KY-2014-058 |
Business Practice Address: | 1560 State Route 1414 Hartford, KY - 423479614 |
Business Phone Number: | 2707753035 |
Business Fax Number: | |
Mailing Address: | 1560 State Route 1414, HARTFORD |
State: | KY |
Postal Code: | 42347 |
Phone Number: | 2707753035 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2014 |
NPI Last Update Date: | 07/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-2014-058 |
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 |