Provider Demographics
NPI:1538468657
Name:MCGHIE, LAURE
Entity Type:Individual
Prefix:
First Name:LAURE
Middle Name:
Last Name:MCGHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 GRAMATAN AVE. BLDG 1
Mailing Address - Street 2:APT 1B
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NEW YORK
Mailing Address - Zip Code:10552
Mailing Address - Country:UM
Mailing Address - Phone:201-304-4099
Mailing Address - Fax:
Practice Address - Street 1:3 THE BLVD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4209
Practice Address - Country:US
Practice Address - Phone:914-632-9109
Practice Address - Fax:914-632-9171
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2355S0801X2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant