Doctor Name: | MISS MISHAUN KATHLEEN MACLELLAN |
NPI Number: | 1861683443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC SLP |
License Number: | SP1090 |
Business Practice Address: | 895 Roberta Ln 101a Sparks, NV - 894316802 |
Business Phone Number: | 7758254744 |
Business Fax Number: | 7753511644 |
Mailing Address: | 895 Roberta Ln, 101a SPARKS |
State: | NV |
Postal Code: | 894316802 |
Phone Number: | 7758254744 |
Fax Number: | 7753511644 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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 |