National Provider Identifier
Derrick Laird McGaughey, L.S.P., C.C.C.
Derrick Laird McGaughey, L.S.P., C.C.C. is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Medina, NY and a listed phone number of (585) 735-3335.
Profile Overview
- NPI
- 1104816099
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 24, 2005
- Last Updated
- July 09, 2007
Practice Location
- 10520 Maple Ridge RD
- Medina, NY 14103-9512
Phone: (585) 735-3335
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1104816099
- Entity Type
- Individual
- Last Name
- McGaughey
- First Name
- Derrick
- Middle Name
- Laird
- Name Prefix
- Mr.
- Credential
- L.S.P., C.C.C.
- Mailing Street Address
- 10520 Maple Ridge RD
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-9512
- Mailing Country
- US
- Mailing Phone
- (585) 735-3335
- Practice Street Address
- 10520 Maple Ridge RD
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-9512
- Practice Country
- US
- Practice Phone
- (585) 735-3335
- Enumeration Date
- October 24, 2005
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)