MRS. Mary Mac Lax, MS, CCC-SLP
NPI #1073905196 in Springfield, Tennessee
Provider Information
- NPI Number
- 1073905196
- Entity Type
- Individual
- Name
- MRS. Mary Mac Lax, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Feb 26, 2015
- Last Updated
- Feb 26, 2015
Practice Location
- Address
- 514 S BROWN ST
- Address 2
- SUITE 600
- City
- Springfield
- State
- Tennessee
- ZIP Code
- 37172-2937
- Phone
- (615) 982-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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