Provider Demographics
NPI:1073766549
Name:MCGEE, ANN M (MA/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3569 TONOPAH ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3007
Mailing Address - Country:US
Mailing Address - Phone:516-781-0876
Mailing Address - Fax:
Practice Address - Street 1:3569 TONOPAH ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-3007
Practice Address - Country:US
Practice Address - Phone:516-781-0876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017558235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist