Mcgukin, Amanda
Mcgukin, Amanda is an sole proprietor health care provider with primary practice located at 515 Timber Lake Dr , Southlake TX 76092-7206. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mcgukin, Amanda can be contacted via phone (949) 468-9348.Contact Information
Primary practice address
515 Timber Lake Dr
Southlake TX 76092-7206
Phone: (949) 468-9348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 107234 | Texas |
Profile Details
| NPI number | 1932479011 |
|---|---|
| LBN Legal business name | Mcgukin, Amanda |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2012 |
| Last updated | Feb 4th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932479011 | NPPES |
| Texas | MEDICAID | 287168301 | |
| Texas | Other | 81S586 |
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