Mckenna, Marla S

Mckenna, Marla S is an sole proprietor health care provider with primary practice located at 1086 Jenkins Branch Ln , Mount Ulla NC 28125-8699. 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. Mckenna, Marla S can be contacted via phone (877) 991-7837.

Contact Information

Primary practice address
1086 Jenkins Branch Ln Mount Ulla NC 28125-8699
Phone: (877) 991-7837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3641 North Carolina

Profile Details

NPI number 1285691162
LBN Legal business name Mckenna, Marla S
Credentials CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Dec 10th, 2012 - about 14 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 1285691162 NPPES
North Carolina MEDICAID 7401038

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