Whalio Doctors

NPI 1073905196

Mary Mac Lax, MSCCCSLP

Practitioner Speech-Language Pathologist Springfield, TN

Practice location

Address
514 S Brown St Suite 600, Springfield, TN 37172-2937
Phone
(615) 982-0500
Fax
(615) 382-0501

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 5160 (TN)

Registry record

NPI
1073905196
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Feb 2015
Record last updated
26 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.