Individual
JACQUELYN M MCGHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 391-6224
Mailing address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 682-2647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
162530
KY
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100746400
—
KY
Enumeration date
05/02/2014
Last updated
10/19/2021
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