Doctor Name: | MICHAEL MCMAKEN |
NPI Number: | 1982001673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SP.10939 |
Business Practice Address: | 525 E Main St Hebron, OH - 430259702 |
Business Phone Number: | 7409285878 |
Business Fax Number: | |
Mailing Address: | 3275 Long Cove Ct, PICKERINGTON |
State: | OH |
Postal Code: | 431478688 |
Phone Number: | 6145315540 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2014 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.10939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |