Individual
GINA MACGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 TANGLEWOOD LN, MALVERN, PA 19355-2031
(610) 247-1806
Mailing address
6 TANGLEWOOD LN, MALVERN, PA 19355-2031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012432
PA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
04/20/2026
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