# MS. MARSHA DIANE MCCLEAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932329497
- **Gender:** F
- **Credential:** AUDIOLOGIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50429 | TX | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 01/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00406U | GROUP \#CONNECTED WITH PRECEEDING PTAN | TX |
| 01 | — | 50429 | STATE AUDIOLOGY LICENSE | TX |
| 01 | — | 8L10430 | INDIVIDUAL MEDICARE PTAN WITHIN GROUP | TX |
