Mandy Marie McLane, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8295 Issued in FL

Practice address

1603 Turin Dr
Longmont, CO 80503-2717

Phone

(407) 252-8905

Fax

(303) 501-1720

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freedom of Speech, LLC

  • Speech-Language Pathologist
  • Longmont, CO
  • NPI 1407921133
  NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922015387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 TURIN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032717",
            "telephone_number": "407-252-8905",
            "fax_number": "303-501-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 TURIN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032717",
            "telephone_number": "407-252-8905",
            "fax_number": "303-501-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Colorado Ave Apt E",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803032106",
            "country_code": "US",
            "telephone_number": "407-252-8905",
            "fax_number": "303-501-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "MANDY",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000140",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93231067",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John McIntyre, LMFT
• McKay Butler, DDS, PLLC
• Dani McKay
• Kimberly McKay, OTR/L
• Sarah J McKinley, MD
• Heather Dawn McLaughlin, LCSW
• Chelsea Lauren McLean, PA-C
• Carol L McLennan, LPC
• Richard L McManaman, D.D.S., M.S.
• Haley McNabb, CD(DONA)

• Speech-Language Pathologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.