Provider Demographics
NPI:1083151104
Name:MCGEE, ZOE LORETTA ALLGOOD (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ZOE
Middle Name:LORETTA ALLGOOD
Last Name:MCGEE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:ZOE
Other - Middle Name:LORETTA
Other - Last Name:ALLGOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1906 SW BIRCH
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-7896
Mailing Address - Country:US
Mailing Address - Phone:479-659-1445
Mailing Address - Fax:
Practice Address - Street 1:4 N DOUBLE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:AR
Practice Address - Zip Code:72730
Practice Address - Country:US
Practice Address - Phone:479-267-5960
Practice Address - Fax:479-267-5965
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4225235Z00000X
AL3958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist