Provider Demographics
NPI:1609014216
Name:MCDADE, PAIGE ELIZABETH (MCD/CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:MCDADE
Suffix:
Gender:F
Credentials:MCD/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 GRAY ST
Mailing Address - Street 2:
Mailing Address - City:BELCHER
Mailing Address - State:LA
Mailing Address - Zip Code:71004-7732
Mailing Address - Country:US
Mailing Address - Phone:318-378-4302
Mailing Address - Fax:
Practice Address - Street 1:404 GRAY ST
Practice Address - Street 2:
Practice Address - City:BELCHER
Practice Address - State:LA
Practice Address - Zip Code:71004-7732
Practice Address - Country:US
Practice Address - Phone:318-378-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5995235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist