Individual
ANN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1501 W ST, PORT TOWNSEND, WA 98368-2715
(360) 477-2411
Mailing address
PO BOX 2021, PORT TOWNSEND, WA 98368-0099
(360) 477-2411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018120
—
WA
Enumeration date
03/21/2007
Last updated
09/19/2019
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