Doctor Name: | MICHAEL D MCGILL |
NPI Number: | 1891719118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 3730 Blair Dr Lsuhsc-school Of Allied Health Professionals Shreveport, LA - 711034602 |
Business Phone Number: | 3186757737 |
Business Fax Number: | 3186755666 |
Mailing Address: | 3730 Blair Dr, Lsuhsc-school Of Allied Health Professionals SHREVEPORT |
State: | LA |
Postal Code: | 711034602 |
Phone Number: | 3186757737 |
Fax Number: | 3186755666 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/09/2007 |
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 |