Individual provider · Type 1 NPI
Jason Daniel McCoy, LMT, SLT
Specialist · Grand Prairie, TX
NPI number
1285044016
Active
Practice location
925 W Pioneer Pkwy, Suite D.
Grand Prairie, TX 75051-4735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT107088 (TX) |
| Other Technician | 247200000X | ZP10218 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Grand Prairie
About NPI 1285044016
Jason Daniel McCoy, LMT, SLT's National Provider Identifier is 1285044016, issued on May 1, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Prairie, TX. The record was last updated on May 1, 2014.