MS. Mary Lou McCormick, MS2917-154, CCC
MS. Mary Lou McCormick, MS2917-154, CCC is a Speech-Language Pathologist in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
4005 Tokay BlvdMadison, WI 53711-1677
Phone: (608) 238-7458
Fax: (608) 527-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 2917 - 154 (WI) |
|---|
Record details
| NPI number | 1639386139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS2917-154 , CCC |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2007 |
| Last updated in NPPES | July 8, 2007 |
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