Individual
MACY LEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Mailing address
6157 AIRPORT BLVD STE 205, MOBILE, AL 36608-3147
(251) 287-0378
(251) 287-0466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1963
ID
235Z00000X
Speech-Language Pathologist
Primary
SP-1058
WY
Other
Enumeration date
07/23/2018
Last updated
01/26/2020
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