Doctor Name: | THERESE MARIE MCCOY |
NPI Number: | 1831235100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 17172 |
Business Practice Address: | 120 E Glessner St Americus, GA - 317094202 |
Business Phone Number: | 3252345610 |
Business Fax Number: | |
Mailing Address: | 120 E Glessner St, AMERICUS |
State: | GA |
Postal Code: | 317094202 |
Phone Number: | 3252345610 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 17172 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |