Provider Demographics
NPI:1457614976
Name:MILLRANEY, MAGGIE KEELE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:KEELE
Last Name:MILLRANEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 BLAIN CIR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-6138
Mailing Address - Country:US
Mailing Address - Phone:931-581-5956
Mailing Address - Fax:
Practice Address - Street 1:852 INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-3104
Practice Address - Country:US
Practice Address - Phone:931-728-5479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4764235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist