Pack, Mckenzie

Pack, Mckenzie is an individual health care provider with primary practice located at 2407 W Louisiana Ave Ste 110 , Midland TX 79701-5826. 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. Pack, Mckenzie can be contacted via phone (432) 570-4400.

Contact Information

Primary practice address
2407 W Louisiana Ave Ste 110 Midland TX 79701-5826
Phone: (432) 570-4400
Fax: (432) 570-4460
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1699296640
LBN Legal business name Pack, Mckenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
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 1699296640 NPPES
Texas Other 113426 TEXAS DEPARTMENT OF LICENSING & REGULATION LICENSED SPEECH PATHOLOGIST INTERN

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