Provider Demographics
NPI:1780805457
Name:MCGUGIN, DEANNA S (AUD)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:S
Last Name:MCGUGIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:DEEDRA
Other - Middle Name:
Other - Last Name:MCGUGIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:333 W. COCOA BEACH CSWY
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931
Mailing Address - Country:US
Mailing Address - Phone:321-799-9797
Mailing Address - Fax:321-799-3393
Practice Address - Street 1:333 W COCOA BEACH CSWY
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3513
Practice Address - Country:US
Practice Address - Phone:321-799-9797
Practice Address - Fax:321-799-3393
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY809231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist