Provider Demographics
NPI:1164622239
Name:MCKEE, MONIQUE (MS CCCA)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MS CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 CENTRAL STREET
Mailing Address - Street 2:THE LEARNING CENTER FOR DEAF CHILDREN
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-875-4559
Mailing Address - Fax:508-875-9203
Practice Address - Street 1:848 CENTRAL STREET
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-875-4559
Practice Address - Fax:508-875-9203
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA581231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA793738OtherTUFTS HEALTH PLAN
MAAD0045OtherBLUE CROSS BLUE SHIELD
MA602455OtherHARVARD PILGRIM HEALTH
MA1301713Medicaid
MA1301713Medicaid