Individual
MRS. CHAVONNE POTTS MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1710 NYS RTE 13, CORTLAND, NY 13045-9617
(570) 721-0235
Mailing address
3027 LASH RD, CORTLAND, NY 13045-9518
(570) 721-0235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021514-1
NY
235Z00000X
Speech-Language Pathologist
106614
TX
Other
Enumeration date
06/28/2011
Last updated
09/18/2015
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