Provider Demographics
NPI:1245614486
Name:MCCLANNAHAN, JUNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:
Last Name:MCCLANNAHAN
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 1:9738 WESTOVER HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4583
Mailing Address - Country:US
Mailing Address - Phone:210-305-5730
Mailing Address - Fax:210-305-5731
Practice Address - Street 1:9738 WESTOVER HILLS BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4583
Practice Address - Country:US
Practice Address - Phone:210-305-5730
Practice Address - Fax:210-305-5731
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15398235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist