Provider Demographics
NPI:1497050561
Name:MCCART, JEAN ELIZABETH (MA-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:ELIZABETH
Last Name:MCCART
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 1:97 LOCH REVAN HTS
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3301
Mailing Address - Country:US
Mailing Address - Phone:585-820-3435
Mailing Address - Fax:
Practice Address - Street 1:198 DR SAMUEL MCCREE WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-3409
Practice Address - Country:US
Practice Address - Phone:585-235-7848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006008-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist