Provider Demographics
NPI:1043598071
Name:MCDONALD, GAIL R (MSCCC-A)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:R
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MSCCC-A
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:R
Other - Last Name:NEUHANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC-A
Mailing Address - Street 1:189 DELANO DR
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-3020
Mailing Address - Country:US
Mailing Address - Phone:401-487-6945
Mailing Address - Fax:
Practice Address - Street 1:189 DELANO DR
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3020
Practice Address - Country:US
Practice Address - Phone:401-487-6945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00188231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist