Provider Demographics
NPI:1578883195
Name:MACKEY, CLAIRE ANN (SLP)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ANN
Last Name:MACKEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WASHINGTON AVE
Mailing Address - Street 2:PO BX 245
Mailing Address - City:COXSACKIE
Mailing Address - State:NY
Mailing Address - Zip Code:12051-1206
Mailing Address - Country:US
Mailing Address - Phone:518-731-8542
Mailing Address - Fax:
Practice Address - Street 1:1 WASHINGTON AVE
Practice Address - Street 2:PO BX 245
Practice Address - City:COXSACKIE
Practice Address - State:NY
Practice Address - Zip Code:12051-1206
Practice Address - Country:US
Practice Address - Phone:518-731-8542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist