Jan G. Mccormack CCC-SLP

NPI 1003156191 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1003156191
Gender Female
Enumeration Date 02/26/2013
Last Updated 02/26/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
364 2ND ST
BAMBERG SC, 29003-1726, US
Phone (803) 245-0508
Fax
Business Location
364 2ND ST
BAMBERG SC, 29003-1726, US
Phone (803) 245-0508
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State South Carolina
License Number 3589
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According to our database, Mrs. Jan G. Mccormack CCC-SLP NPI is 1003156191, taxonomy code is 235Z00000X and license number is 3589, license state is located at South Carolina. Jan G. Mccormack CCC-SLP physically located at 364 2nd St, Bamberg SC, 29003-1726. NPI Number Jan G. Mccormack CCC-SLP has the Individual type.

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1003156191 NPI number is provided on an as is basis without warranty of any kind. 1003156191 is maintained by the National Plan & Provider Enumeration System. The contents of Jan G. Mccormack CCC-SLP are for informational purposes only.