Larae A Mcgillivray in Moorhead - Speech-language Pathologist
Larae A Mcgillivray - NPI 1003908682
Larae A Mcgillivray is a Speech-language Pathologist in Moorhead, Minnesota. Larae A Mcgillivray practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Larae A Mcgillivray is 1003908682. The last update date is 2007-07-08.
Larae A Mcgillivray's current location address is 1104 7th Ave S, Moorhead, Minnesota. You can contact this provider via phone number 2184774639 and fax number 2184774392. The mailing address for Larae A Mcgillivray is 1104 7th Ave S, Moorhead, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larae A Mcgillivray |
|---|---|
| Address | 1104 7th Ave S, Moorhead, Minnesota |
| Phone Number | 2184774639 |
| Fax Number | 2184774392 |
| Sole Proprietor | N |
| Credentials | MS CCCSLP |
NPI Number Detail
| NPI Number | 1003908682 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1104 7th Ave S |
|---|---|
| City | Moorhead |
| State | Minnesota (MN) |
| Post Code | 565630001 |
| Phone Number | 2184774639 |
| Fax Number | 2184774392 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7234 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51837 | ND | -- | |
| 18429 | ND | ND BCBS | |
| 61B52MC | MN | MN BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larae A Mcgillivray by the Centers for Medicare & Medicaid Services?
The Larae A Mcgillivray has been assigned the NPI (National Provider Identifier) 1003908682 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Larae A Mcgillivray?
The Larae A Mcgillivray is situated at 1104 7Th Ave S, in the city of Moorhead, state of MN, with the zip code 565630001.
What is Larae A Mcgillivray's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larae A Mcgillivray is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Larae A Mcgillivray receive its 1003908682 assignment from the Centers for Medicare & Medicaid Services?
The Larae A Mcgillivray was assigned its 1003908682 by the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the information regarding Larae A Mcgillivray, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larae A Mcgillivray, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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