Provider Demographics
NPI:1497042238
Name:MCGRADY, DANA ELAINE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ELAINE
Last Name:MCGRADY
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 1:11279 PERRY HWY STE 110
Mailing Address - Street 2:PINE CENTER
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9303
Mailing Address - Country:US
Mailing Address - Phone:724-933-9267
Mailing Address - Fax:724-933-9283
Practice Address - Street 1:11279 PERRY HWY STE 110
Practice Address - Street 2:PINE CENTER
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9303
Practice Address - Country:US
Practice Address - Phone:724-933-9267
Practice Address - Fax:724-933-9283
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003223L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist