Provider Demographics
NPI:1013369537
Name:WINNIE-MCGREGOR, CHRYSANN (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRYSANN
Middle Name:
Last Name:WINNIE-MCGREGOR
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 RIDGELINE DR
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-8923
Mailing Address - Country:US
Mailing Address - Phone:734-748-6950
Mailing Address - Fax:
Practice Address - Street 1:10201 RIDGELINE DR
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-8923
Practice Address - Country:US
Practice Address - Phone:734-748-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101004199235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist