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

TaxonomyCodeLicense
Specialist Primary 174400000XMT107088 (TX)
Other Technician 247200000XZP10218 (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.

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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.