Mckennon, Mary Jeanette

Mckennon, Mary Jeanette is an individual health care provider with primary practice located at 515 W Lingleville Rd , Stephenville TX 76401-2211. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mckennon, Mary Jeanette can be contacted via phone (254) 965-3611.

Contact Information

Primary practice address
515 W Lingleville Rd Stephenville TX 76401-2211
Phone: (254) 965-3611
Fax: (254) 965-3618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10142 Texas

Profile Details

NPI number 1841375839
LBN Legal business name Mckennon, Mary Jeanette
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841375839 NPPES
Texas MEDICAID 004322603
Texas Other 89469T
Texas MEDICAID 004322602

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