Individual
MICHAEL D MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1450 CLAIBORNE AVE, LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2981
Mailing address
1501 KINGS HWY, LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS, SHREVEPORT, LA 71103-4228
(318) 813-2970
(318) 813-2981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174173
—
LA
Enumeration date
07/27/2006
Last updated
11/27/2016
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