Provider Demographics
NPI:1215115084
Name:MCNARY, DORIS (CCC-SLP)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:MCNARY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:
Other - Last Name:SLOCUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14355 BURBANK BLVD
Mailing Address - Street 2:APT. 2
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-4828
Mailing Address - Country:US
Mailing Address - Phone:818-787-7794
Mailing Address - Fax:
Practice Address - Street 1:6400 LAUREL CANYON BLVD STE 400
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1564
Practice Address - Country:US
Practice Address - Phone:818-763-0136
Practice Address - Fax:818-763-3838
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 10118235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist