Provider Demographics
NPI:1437450582
Name:MCGORRY MCRORY, JOANNE
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:MCGORRY MCRORY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 RUSHMORE AVE
Mailing Address - Street 2:RUSHMORE SCHOOL
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1448
Mailing Address - Country:US
Mailing Address - Phone:516-622-6573
Mailing Address - Fax:
Practice Address - Street 1:251 RUSHMORE AVE
Practice Address - Street 2:RUSHMORE SCHOOL
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1448
Practice Address - Country:US
Practice Address - Phone:516-622-6573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011295235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist