Provider Demographics
NPI:1679016257
Name:MCGUIRE, NATALIE (MS, CCC, SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MS, CCC, SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9130 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6671
Mailing Address - Country:US
Mailing Address - Phone:718-286-4700
Mailing Address - Fax:
Practice Address - Street 1:488 BEACH 66TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11692-1430
Practice Address - Country:US
Practice Address - Phone:718-734-3650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist