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DR. BRENDA JEAN MCCANN AUDCCCA

Speech, Language and Hearing Service Providers Audiologist

Provider NPI: 1811165756

Provider Information:
DR. BRENDA JEAN MCCANN AUDCCCA
Gender: F
Not Sole Proprietor

Practice Location:
1806 E PARKDALE AVE SUITE 3 MANISTEE, MI 49660-9363 US
Tel: 231-398-9536  Fax: 231-398-9541

Business Mailing Address:
1806 E PARKDALE AVE SUITE 3 MANISTEE, MI 49660-9363 US
Tel: 231-398-9536  Fax: 231-398-9541

NPI Information:
NPI: 1811165756
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y231H00000XSpeech, Language and Hearing Service Providers
Audiologist
MI1601000332
N231HA2500XSpeech, Language and Hearing Service Providers
Audiologist
MI1601000332
N237600000XSpeech, Language and Hearing Service Providers
Audiologist-Hearing Aid Fitter
MI1601000332

Other Provider Identifiers:

IssuerNumberStateType
BCBS MICHIGAN640E126000MI01
BCBS MICHIGAN540E102660MI01



American Medical Association 2012 taxonomy code information

Code: 231H00000X

Type:

Classification:



Definition:



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