Olivia Jacqueline Mack, CCC-SLP is a
Speech-language Pathologist based in Meredith, New Hampshire. Olivia Jacqueline Mack is licensed to practice in * (Not Available) (license number ) and her current practice location is
1 Laker Ln, Meredith, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 279-6162.
NPI number for Olivia Jacqueline Mack is 1275201352 and her current mailing address is 3000 S New Rd Apt 534, Waco, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275201352.
Healthcare Provider's Profile
Full Name | Olivia Jacqueline Mack |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1 Laker Ln, Meredith, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275201352
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 08/29/2024
Medical Identifiers
Medical identifiers for Olivia Jacqueline Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275201352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 118983 (Texas) | Secondary |
235Z00000X | Speech-language Pathologist | EL31571 (New Hampshire) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olivia Jacqueline Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Olivia Jacqueline Mack, CCC-SLP 3000 S New Rd Apt 534, Waco, TX 76706-3872 Ph: (407) 408-5826 | Olivia Jacqueline Mack, CCC-SLP 1 Laker Ln, Meredith, NH 03253-6321 Ph: (603) 279-6162 |
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