Jennie McCormick

Speech-Language Pathologist · Manitowoc, WI

Individual Active NPI

NPI number 1053022962

Practice location

1650 S 41st St
Manitowoc, WI 54220-7316
Phone
(920) 320-3100

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NPI record

NPI
1053022962
Entity type
Individual (Type 1)
Enumeration date
December 12, 2022
Last updated
December 12, 2022
Certified
December 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 6076 WI

About Jennie McCormick

Jennie McCormick is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1650 S 41st St, Manitowoc, WI 54220-7316. The NPI number 1053022962 was assigned on December 12, 2022 and the record was last updated on December 12, 2022.

Jennie McCormick lists a license in the registry: #6076 (WI) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennie McCormick?

The NPI number is 1053022962.

What is the phone number of Jennie McCormick?

The phone number listed for the practice location is (920) 320-3100.

Where is Jennie McCormick located?

1650 S 41st St, Manitowoc, WI 54220-7316.

What is the taxonomy code for Jennie McCormick?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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