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NPI Code Detail

MEDICARE: TERESA ANN MCCANN SLP

MEDICARE: TERESA ANN MCCANN SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1164111415
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA ANN MCCANN SLP
Provider Business Mailing Address
First Line : 2 SLEEPY HOLLOW DR
Second Line :
City : OAK RIDGE
State : NJ
Zip : 07438-9351
Country : US
Telephone Number : 973-713-1365
Fax Number :
Provider Business Practice Location Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-893-2223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/03/2023

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Directions to “ TERESA ANN MCCANN SLP” Practice Location

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