Provider Demographics
NPI:1831394410
Name:MCKINNEY, DANA M (SLP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:MCKINNEY
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 1:3410 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3210
Mailing Address - Country:US
Mailing Address - Phone:724-658-2801
Mailing Address - Fax:724-658-2808
Practice Address - Street 1:3410 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3210
Practice Address - Country:US
Practice Address - Phone:724-658-2801
Practice Address - Fax:724-658-2808
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist