Individual
SIOBAIN MCGONIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1 PIKE DR, WAYNE, NJ 07470-2443
(315) 889-1690
Mailing address
32 N SPRING GARDEN AVE, NUTLEY, NJ 07110-1508
(973) 525-6103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01175600
NJ
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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