Provider Demographics
NPI:1588814859
Name:MCSHANE-O'KEEFE, BARBARA ELLEN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELLEN
Last Name:MCSHANE-O'KEEFE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:15 PEACOCK LN
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5711
Mailing Address - Country:US
Mailing Address - Phone:845-453-0894
Mailing Address - Fax:845-298-2939
Practice Address - Street 1:15 PEACOCK LN
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5711
Practice Address - Country:US
Practice Address - Phone:845-453-0894
Practice Address - Fax:845-298-2939
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY010669-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist