Healthcare Provider Details

I. General information

NPI: 1972428936
Provider Name (Legal Business Name): PAIGE MCGILL M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 SANTIAGO ST
SAN FRANCISCO CA
94116-1526
US

IV. Provider business mailing address

1301 NOE ST APT 2
SAN FRANCISCO CA
94131-1961
US

V. Phone/Fax

Practice location:
  • Phone: 925-247-4803
  • Fax:
Mailing address:
  • Phone: 925-247-4803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP41820
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: