Provider Demographics
NPI:1306414917
Name:MCKUHAN, ANN MARIE M (CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:M
Last Name:MCKUHAN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ROGERS LN
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2413
Mailing Address - Country:US
Mailing Address - Phone:631-316-2607
Mailing Address - Fax:
Practice Address - Street 1:35 ROGERS LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2413
Practice Address - Country:US
Practice Address - Phone:631-316-2607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2021-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist