Christine Ann McDermott, MA, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109379 Issued in MO

Practice address

226 S. Woods Mill Rd.
Suite 37W
Chesterfield, MO 63017-3442

Phone

(314) 523-5390

NPI assigned

Apr 19, 2010

Last updated

Apr 19, 2010By the provider in NPPES

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 names 1

• Miss Christine Ann Beveridge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1609192434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S. WOODS MILL RD.",
            "address_2": "SUITE 37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173442",
            "telephone_number": "314-523-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S. WOODS MILL RD.",
            "address_2": "SUITE 37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173442",
            "telephone_number": "314-523-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "109379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BEVERIDGE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MA, CCC, SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott McClure, MD
• Carrol Duane McCord, RPH
• David Olon McCrary, M.D.
• Cathy McCredie, MHS, PT, OCS, MTC
• Lisa Michelle McCulloch, LPC
• Rebecca A. McDermott, M.S. CCC-SLP
• Sarah McDermott
• Courtney McDole, MS, CCC-SLP
• Ian Matthew McDonald, D.C.
• Jennifer K. McDonald, D.O.

• Speech-Language Pathologist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.