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1144037250 NPI number — MACY DAVENPORT CHANEY M.S., CCC-SLP

NPI Number: 1144037250
Health Care Provider/Practitioner: MACY DAVENPORT CHANEY M.S., CCC-SLP

Information about “1144037250” NPI (MACY DAVENPORT CHANEY M.S., CCC-SLP) exists in 1144037250 in HTML format HTML  |  1144037250 in plain Text format TXT  |  1144037250 in PDF (Portable Document Format) PDF  |  1144037250 in an XML format XML  formats.

NPI Number : 1144037250 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144037250",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHANEY",
    "FirstName": "MACY",
    "MiddleName": "DAVENPORT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAVENPORT",
    "OtherFirstName": "MACY",
    "OtherMiddleName": "ERIN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1751 SCOTTSVILLE RD STE 9",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOWLING GREEN",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42104-3357",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "270-796-6800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1751 SCOTTSVILLE RD STE 9",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOWLING GREEN",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42104-3357",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "270-796-6800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/12/2024",
    "LastUpdateDate": "01/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "285171",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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