Doctor Name: | MICHELE MARIE MCGUIRE |
NPI Number: | 1144346362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC - SLP |
License Number: | 7288 |
Business Practice Address: | 490 Highway 96 W Suite 300 Shoreview, MN - 551261960 |
Business Phone Number: | 6514513016 |
Business Fax Number: | |
Mailing Address: | 13815 57th Ave N, PLYMOUTH |
State: | MN |
Postal Code: | 554463591 |
Phone Number: | 7635597589 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |