Provider Demographics
NPI:1104337070
Name:MCFARLIN, MICHELLE NEILON (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:NEILON
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 GREENVILLE AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5036
Mailing Address - Country:US
Mailing Address - Phone:214-736-2230
Mailing Address - Fax:214-736-2229
Practice Address - Street 1:4600 GREENVILLE AVE STE 160
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5036
Practice Address - Country:US
Practice Address - Phone:214-736-2230
Practice Address - Fax:214-736-2229
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133249235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty