Provider Demographics
NPI:1154297323
Name:MCNEICE, MARY ALICE (MS-CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ALICE
Last Name:MCNEICE
Suffix:
Gender:F
Credentials:MS-CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3036
Mailing Address - Country:US
Mailing Address - Phone:630-805-0567
Mailing Address - Fax:
Practice Address - Street 1:533 N ROY AVE
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-1762
Practice Address - Country:US
Practice Address - Phone:847-451-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146004369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist