Provider Demographics
NPI:1568897130
Name:MCGUIRE, PAULA REGAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:REGAN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60208-3570
Mailing Address - Country:US
Mailing Address - Phone:847-491-2460
Mailing Address - Fax:847-467-7141
Practice Address - Street 1:2240 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60208-3570
Practice Address - Country:US
Practice Address - Phone:847-491-2460
Practice Address - Fax:847-467-7141
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146002758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist