Provider Demographics
NPI:1598099392
Name:MAGEE, GAYDAWN (HIS)
Entity Type:Individual
Prefix:MRS
First Name:GAYDAWN
Middle Name:
Last Name:MAGEE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 S I 35 SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-3175
Mailing Address - Country:US
Mailing Address - Phone:405-703-8919
Mailing Address - Fax:405-703-8969
Practice Address - Street 1:715 S I 35 SERVICE RD
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-3175
Practice Address - Country:US
Practice Address - Phone:405-703-8919
Practice Address - Fax:405-703-8969
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1002237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist