Jacqueline Rene Mcclure M.S., CCC-SLP

NPI 1003163676 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1003163676
Gender Female
Enumeration Date 08/13/2012
Last Updated 08/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
275 SOUTH UNIVERSITY STREET
211 RACHEL COOPER
NORMAL IL, 61761, US
Phone (309) 438-8641
Fax (309) 438-5221
Business Location
ECKELMANN TAYLOR SPEECH AND HEARING CLINIC
CAMPUS BOX 4720
NORMAL IL, 61790-4720, US
Phone (309) 438-8641
Fax (309) 438-5221
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146-004662
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According to our database, Mrs. Jacqueline Rene Mcclure M.S., CCC-SLP NPI is 1003163676, taxonomy code is 235Z00000X and license number is 146-004662, license state is located at Illinois. Jacqueline Rene Mcclure M.S., CCC-SLP physically located at 275 South University Street, Normal IL, 61761. NPI Number Jacqueline Rene Mcclure M.S., CCC-SLP has the Individual type.

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1003163676 NPI number is provided on an as is basis without warranty of any kind. 1003163676 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Rene Mcclure M.S., CCC-SLP are for informational purposes only.