Provider Demographics
NPI:1376716050
Name:MCGILL, LORYN RACHEL (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LORYN
Middle Name:RACHEL
Last Name:MCGILL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 E LA VETA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-2902
Mailing Address - Country:US
Mailing Address - Phone:714-633-7400
Mailing Address - Fax:714-633-0738
Practice Address - Street 1:1800 E LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2902
Practice Address - Country:US
Practice Address - Phone:714-633-7400
Practice Address - Fax:714-633-0738
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15577235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist