Macy Christine Northup, M.S. CF-SLP
Speech-Language Pathologist, in Lakeland, FL. Individual provider (NPI-1).
NPI number1295366383
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1295366383
- Entity type
- Individual (NPI-1)
- Name
- Macy Christine Northup
- Credential
- M.S. CF-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SZ9461 | FL | Yes |
Practice location
3020 Lakeland Highlands RdLakeland, FL 33803-4338
Phone 863-686-3189
Mailing address
1324 Hickory Ln SFort Meade, FL 33841-9373
Phone 863-559-3324
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 134 Speech-Language Pathologist providers in Lakeland · All 6,813 providers in Lakeland
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