Provider Demographics
NPI:1427675198
Name:MCKEE, AMY E (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:MCKEE
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:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER MILLS
Mailing Address - State:CA
Mailing Address - Zip Code:96028-0190
Mailing Address - Country:US
Mailing Address - Phone:530-440-6823
Mailing Address - Fax:
Practice Address - Street 1:26066 CHANDLER LN
Practice Address - Street 2:
Practice Address - City:MCARTHUR
Practice Address - State:CA
Practice Address - Zip Code:96056-8596
Practice Address - Country:US
Practice Address - Phone:530-440-6823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13411235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist