Individual
COLLEEN MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4320 W 220TH ST, FAIRVIEW PARK, OH 44126-1818
(440) 356-3525
Mailing address
2730 SHELLEY RD, SHAKER HEIGHTS, OH 44122-2732
(216) 339-2634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.15500
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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