Provider Demographics
NPI:1144501768
Name:MCKAY, RHIANNON DANIELLE WORKMAN (AUD)
Entity type:Individual
Prefix:DR
First Name:RHIANNON
Middle Name:DANIELLE WORKMAN
Last Name:MCKAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:RHIANNON
Other - Middle Name:DANIELLE
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:23550 SAINT GEORGE CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9466
Mailing Address - Country:US
Mailing Address - Phone:248-756-0898
Mailing Address - Fax:
Practice Address - Street 1:3 HERITAGE DR STE 1
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-3000
Practice Address - Country:US
Practice Address - Phone:248-756-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501004575231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter