Basic Information
| Provider Information | |||||||||
| NPI: | 1093021438 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCLACHLAN | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1225 FOX HOLLOW DR | ||||||||
| Address2: | |||||||||
| City: | LEBANON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450367846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135455173 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1390 KING TREE DR | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454051401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372780723 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2010 | ||||||||
| LastUpdateDate: | 08/24/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 2011032-SP | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.