Individual
CHRISTINE ANN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP MS-CCC
Contact information
Practice address
5209 BARTON RD, MADISON, WI 53711-3608
(608) 274-6384
Mailing address
5209 BARTON RD., MADISON, WI 53711
(608) 249-2137
(608) 249-7622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1032154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42560600
—
WI
Enumeration date
03/27/2007
Last updated
11/28/2012
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