Individual
MARIELLE VIRGINIA MCKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-6843
(541) 398-3444
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016215
OR
235Z00000X
Speech-Language Pathologist
PSLP.0000159
CO
Other
Enumeration date
08/10/2016
Last updated
09/02/2022
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