Provider Demographics
NPI:1235260670
Name:MCGRAW, SANDRA ALFORD (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ALFORD
Last Name:MCGRAW
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:PO BOX 244023
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-4023
Mailing Address - Country:US
Mailing Address - Phone:334-244-3421
Mailing Address - Fax:
Practice Address - Street 1:7041 SENATORS DRIVE
Practice Address - Street 2:LIBERAL ARTS BUILDING ROOM 110
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117
Practice Address - Country:US
Practice Address - Phone:334-244-3421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51517992MCGOtherBLUECROSS BLUE SHIELD