Mcclellan, Tehra

Mcclellan, Tehra is an individual health care provider with primary practice located at 24 Hollywood Blvd Sw Ste 7 , Fort Walton Beach FL 32548-4893. 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. Mcclellan, Tehra can be contacted via phone (850) 226-7411.

Contact Information

Primary practice address
24 Hollywood Blvd Sw Ste 7 Fort Walton Beach FL 32548-4893
Phone: (850) 226-7411
Fax: (850) 226-7496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8842 Florida

Profile Details

NPI number 1972674547
LBN Legal business name Mcclellan, Tehra
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 8th, 2022 - about 4 years ago

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 1972674547 NPPES
Florida MEDICAID 811542700

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