Doctor Name: | DENISE MARIE MCDONALD |
NPI Number: | 1124313473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SL002545L |
Business Practice Address: | 550 West College Avenue Pleasant Gap, PA - 16823 |
Business Phone Number: | 7172425400 |
Business Fax Number: | |
Mailing Address: | 303 Loch Lomond Rd, Apartment E PHILIPSBURG |
State: | PA |
Postal Code: | 168661954 |
Phone Number: | 8143434643 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL002545L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |