Provider Demographics
NPI:1467682666
Name:MCGUINNESS, RENEE PRAT (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:PRAT
Last Name:MCGUINNESS
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 1:1237 NURSERY AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2325
Mailing Address - Country:US
Mailing Address - Phone:504-473-1323
Mailing Address - Fax:
Practice Address - Street 1:1237 NURSERY AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2325
Practice Address - Country:US
Practice Address - Phone:504-473-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist