Mary T McJilton, M. ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15394 Issued in TX

Practice address

2912 Balsam St
Longview, TX 75605-1516

Phone

(903) 399-5441

Fax

(903) 399-5441

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Terry McJilton Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1326353038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 BALSAM ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051516",
            "telephone_number": "903-399-5441",
            "fax_number": "903-399-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 BALSAM ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051516",
            "telephone_number": "903-399-5441",
            "fax_number": "903-399-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCJILTON",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "M. ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "15394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE #",
            "identifier": "15394",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "MCJILTON",
            "credential": "M. ED., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• McGough & McGough, P.C.
• Charles Thomas McGough, D.D.S.
• Katherine Renee McGough, D.D.S.
• Danah Hawkins McGraw, LVN
• Baylee Nicole McGuire, PTA
• Mary McKenzie, FNP-BC
• Katie Erin McKinley, PA-C
• Kathryn May McKinney, RDN, CDCES
• Tiffany Renee McKinney, AU.D.
• Wendy McKinnon, APN

• Speech-Language Pathologist in Longview, TX
• Providers in Longview, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.