Mclane, Mandy Marie

Mclane, Mandy Marie is an sole proprietor health care provider with primary practice located at 1603 Turin Dr , Longmont CO 80503-2717. 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. Mclane, Mandy Marie can be contacted via phone (407) 252-8905.

Contact Information

Primary practice address
1603 Turin Dr Longmont CO 80503-2717
Fax: (303) 501-1720
Website:

Health care specialties

Profile Details

NPI number 1922015387
LBN Legal business name Mclane, Mandy Marie
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 21st, 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 1922015387 NPPES
Colorado MEDICAID 93231067

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