Provider Demographics
NPI:1811156490
Name:MCKONE, ANN M (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:MCKONE
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:307 PLAZA DR
Mailing Address - Street 2:DOVER REHABILITATION AND LIVING CENTER
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2455
Mailing Address - Country:US
Mailing Address - Phone:603-749-1519
Mailing Address - Fax:603-834-6991
Practice Address - Street 1:307 PLAZA DR
Practice Address - Street 2:DOVER REHABILITATION AND LIVING CENTER
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2455
Practice Address - Country:US
Practice Address - Phone:603-749-1519
Practice Address - Fax:603-834-6991
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0423235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist