| Doctor Name: | MR. DERRICK LAIRD MCGAUGHEY |
| NPI Number: | 1104816099 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.S.P., C.C.C. |
| License Number: | 000699 |
| Business Practice Address: | 10520 Maple Ridge Rd Medina, NY - 141039512 |
| Business Phone Number: | 5857353335 |
| Business Fax Number: | |
| Mailing Address: | 10520 Maple Ridge Rd, MEDINA |
| State: | NY |
| Postal Code: | 141039512 |
| Phone Number: | 5857353335 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 000699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |