Doctor Name: | MRS. LAUREN RADERER MCGINNIS |
NPI Number: | 1245669233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 484 Main St Worcester, MA - 016081893 |
Business Phone Number: | 8002442756 |
Business Fax Number: | 5088319768 |
Mailing Address: | 66 Summer St, Apt 2 NATICK |
State: | MA |
Postal Code: | 017604522 |
Phone Number: | 5026444564 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2013 |
NPI Last Update Date: | 11/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |