Provider Demographics
NPI:1376664953
Name:MCGUIRE, MONICA ROCHELLE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:ROCHELLE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 ZION PL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4621
Mailing Address - Country:US
Mailing Address - Phone:405-348-2960
Mailing Address - Fax:
Practice Address - Street 1:1720 ZION PL
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-4621
Practice Address - Country:US
Practice Address - Phone:405-348-2960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist