| NPI | 1528754017 |
|---|---|
| Other Name | MARY TESSA MCINTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 285805) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 278041) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-10-28 |