Provider Demographics
NPI:1477702488
Name:MAGEE, GRETCHEN ALECE (AUD)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:ALECE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 TOWN CTR NE
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-1818
Mailing Address - Country:US
Mailing Address - Phone:479-657-6464
Mailing Address - Fax:479-657-6609
Practice Address - Street 1:407 TOWN CTR NE
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-1818
Practice Address - Country:US
Practice Address - Phone:405-306-5096
Practice Address - Fax:479-657-6609
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist