Doctor Name: | CHRISTIN GAGNON |
NPI Number: | 1790170470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 19945 |
Business Practice Address: | 231 W University Dr Ste 111 Denton, TX - 762011801 |
Business Phone Number: | 9403872939 |
Business Fax Number: | 9403870434 |
Mailing Address: | 14724 Little Anne Dr, LITTLE ELM |
State: | TX |
Postal Code: | 750682770 |
Phone Number: | 9403872939 |
Fax Number: | 9403870434 |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |