Provider Demographics
NPI:1790455830
Name:DELINOIS, MACGDA BEATRICE
Entity Type:Individual
Prefix:
First Name:MACGDA
Middle Name:BEATRICE
Last Name:DELINOIS
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 1:6510 COPPER RIDGE DR APT 102
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2247
Mailing Address - Country:US
Mailing Address - Phone:184-536-7304
Mailing Address - Fax:
Practice Address - Street 1:1848 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1379
Practice Address - Country:US
Practice Address - Phone:443-360-5527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09656235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist