Provider Demographics
NPI:1497489397
Name:LITTLE, MAEGAN MCCARTNEY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:MCCARTNEY
Last Name:LITTLE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 STURKIETOWN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHSIDE
Mailing Address - State:AL
Mailing Address - Zip Code:35907-0702
Mailing Address - Country:US
Mailing Address - Phone:256-689-8712
Mailing Address - Fax:
Practice Address - Street 1:3803 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3025
Practice Address - Country:US
Practice Address - Phone:256-459-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4944235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist