Provider Demographics
NPI:1497017453
Name:MCQUILLEN, WILLIAM CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:MCQUILLEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 VISCOUNT BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7054
Mailing Address - Country:US
Mailing Address - Phone:915-599-8900
Mailing Address - Fax:915-599-8604
Practice Address - Street 1:9440 VISCOUNT BLVD STE 210
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7054
Practice Address - Country:US
Practice Address - Phone:915-599-8900
Practice Address - Fax:915-599-8604
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist