Provider Demographics
NPI:1588340186
Name:MCLEAN, MITCHELL TYLER (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:TYLER
Last Name:MCLEAN
Suffix:
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 BUCKINGHAM GATE BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-5513
Mailing Address - Country:US
Mailing Address - Phone:724-814-4968
Mailing Address - Fax:
Practice Address - Street 1:9772 DIAGONAL RD
Practice Address - Street 2:
Practice Address - City:MANTUA
Practice Address - State:OH
Practice Address - Zip Code:44255-9160
Practice Address - Country:US
Practice Address - Phone:800-233-8611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist