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
Phone: (407) 252-8905
Fax: (303) 501-1720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 0000140 | Colorado |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 8295 | Florida |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922015387 | NPPES |
| Colorado | MEDICAID | 93231067 |
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