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NPI Code Detail

MEDICARE: JORDAN MCNAMEE M.A., CCC-SLP

MEDICARE:   JORDAN  MCNAMEE  M.A., CCC-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 Pathologist22006560AIN

General Provider Information

NPI Number : 1760984140
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN MCNAMEE M.A., CCC-SLP
Provider Business Mailing Address
First Line : 8326 PLUM VALLEY DR
Second Line :
City : SELLERSBURG
State : IN
Zip : 47172-9052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 118 MEDICAL DR
Second Line :
City : CARMEL
State : IN
Zip : 46032-3323
Country : US
Telephone Number : 317-573-1037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 03/01/2018

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Directions to “ JORDAN MCNAMEE M.A., CCC-SLP” Practice Location

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