Mary Mac Lax MS, CCC-SLP

NPI 1073905196 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1073905196
Gender Female
Enumeration Date 02/26/2015
Last Updated 02/26/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
514 S BROWN ST
SUITE 600
SPRINGFIELD TN, 37172-2937, US
Phone (615) 982-0500
Fax (615) 382-0501
Business Location
514 S BROWN ST
SUITE 600
SPRINGFIELD TN, 37172-2937, US
Phone (615) 982-0500
Fax (615) 382-0501
Toxanomy
Taxonomy Code 235Z00000X
License State Tennessee
License Number 5160
Remove 1073905196 NPI Number
 

According to our database, Mrs. Mary Mac Lax MS, CCC-SLP NPI is 1073905196, taxonomy code is 235Z00000X and license number is 5160, license state is located at Tennessee. Mary Mac Lax MS, CCC-SLP physically located at 514 S Brown St, Springfield TN, 37172-2937. NPI Number Mary Mac Lax MS, CCC-SLP has the Individual type.

Sponsored links

1073905196 NPI number is provided on an as is basis without warranty of any kind. 1073905196 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Mac Lax MS, CCC-SLP are for informational purposes only.