Mary Lou Mccormick in Madison - Speech-language Pathologist
Mary Lou Mccormick - NPI 1639386139
Mary Lou Mccormick is a Speech-language Pathologist in Madison, Wisconsin. Mary Lou Mccormick practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary Lou Mccormick is 1639386139. The last update date is 2007-07-08.
Mary Lou Mccormick's current location address is 4005 Tokay Blvd, Madison, Wisconsin. You can contact this provider via phone number 6082387458. The mailing address for Mary Lou Mccormick is 4005 Tokay Blvd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Mccormick |
|---|---|
| Address | 4005 Tokay Blvd, Madison, Wisconsin |
| Phone Number | 6082387458 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. 2917- |
NPI Number Detail
| NPI Number | 1639386139 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4005 Tokay Blvd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537111677 |
| Phone Number | 6082387458 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2917 - 154 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2917 -154 | WI | WISCONSIN STATE LICENSE | |
| 1120904 | WI | AMERICAN SPEECH LANGUAGE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Lou Mccormick by the Centers for Medicare & Medicaid Services?
The Mary Lou Mccormick has been assigned the NPI (National Provider Identifier) 1639386139 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mary Lou Mccormick is physically located?
The Mary Lou Mccormick is physically situated at the following address: 4005 Tokay Blvd, Madison, WI, 537111677.
What is the area of specialization for Mary Lou Mccormick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Lou Mccormick is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
On what date did the Mary Lou Mccormick receive the assignment of its 1639386139 from the Centers for Medicare & Medicaid Services?
The Mary Lou Mccormick was issued its 1639386139 by the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details related to Mary Lou Mccormick most recently updated or revised?
The information pertaining to Mary Lou Mccormick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.