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Deactivated NPI 1841375839 Deactivated / Inactive NPI Female Practitioner

Mary Jeanette Mckennon , SLP

Speech-Language Pathologist • Stephenville, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Mckennon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2006
NPI Deactivation Date August 14, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Mary Mckennon, SLP was a registered Speech-Language Pathologist practicing in Stephenville, TX. Throughout an active medical career spanning 18 years, Mary Mckennon provided care at the practice location at 515 W LINGLEVILLE RD until profile deactivation on 2024-08-14.

Practice Location & Contact Primary Location

Practice Address

515 W Lingleville Rd

Stephenville, TX 764012211

Telephone 2549653611
Fax 2549653618
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Stephenville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Stephenville, TX (17210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 10142

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carol Reed , OTR

Occupational Therapist

NPI 1013092022

Occupational Therapist Registered

Sarah Rickels , PTA

Physical Therapy Assistant

NPI 1013496231

Physical Therapist Assistant

Sherry Wiley , SLP-ASSISTANT

Specialist/Technologist - Speech-Language Assistant

NPI 1023597309

SLPASSISTANT

Kimberly Mory , SLP

Speech-Language Pathologist

NPI 1033259007

Speech-Language Pathologist

Amy Johnson , PT

Physical Therapist

NPI 1033262282

Physical Therapist

Kailey King , OTR

Occupational Therapist

NPI 1053603332

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 14, 2024

Record deactivated on August 14, 2024

NPI Profile Active May 26, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 26, 2010

Registered at 515 W LINGLEVILLE RD, STEPHENVILLE, TX 764012211 (Tel: 2549653611)

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Updated Business Mailing Address May 26, 2010

Registered at 5909 N HIGHWAY 281, MINERAL WELLS, TX 760672509 (Tel: 9403251072)

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Provider Name / Credentials Updated May 26, 2010

Recorded as MARY MCKENNON, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2010

Speech-Language Pathologist (License #10142 in TX)

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Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841375839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: May 26, 2010
Deactivation Date: August 14, 2024

Mailing Address

5909 N Highway 281

Mineral Wells, TX 760672509

Phone: 9403251072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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