Individual ProviderMollie MckinneySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address225 E Sonterra Blvd, Suite 120, San Antonio, TX 78258-3992(210) 495-9944PECOS EnrollmentBased on the most recent information from CMS, provider Mollie Mckinney does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1619375334Provider TypeIndividualFull NameMckinney, MollieCredentialM.S., CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date12/11/2014Last Updated12/11/2014Contact InformationPractice LocationPractice Address225 E Sonterra Blvd, Suite 120, San Antonio, TX 78258-3992Phone(210) 495-9944FaxUnlisted FaxMailing LocationMailing Address225 E Sonterra Blvd, Suite 120, San Antonio, TX 78258-3992Phone(210) 495-9944FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense109319Texas