Provider Demographics
NPI:1003126194
Name:MCGAHEY, CONSTANCE CLIFFORD (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:CLIFFORD
Last Name:MCGAHEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 TAMASSEE DR
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29631-1844
Mailing Address - Country:US
Mailing Address - Phone:864-653-8424
Mailing Address - Fax:
Practice Address - Street 1:321 TAMASSEE DR
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-1844
Practice Address - Country:US
Practice Address - Phone:864-653-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist