Healthcare Provider Details

I. General information

NPI: 1013858315
Provider Name (Legal Business Name): ANNIE MCGAHEY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BUMPS RIVER RD
OSTERVILLE MA
02655-1469
US

IV. Provider business mailing address

17 KRISTINA LN
MASHPEE MA
02649-3361
US

V. Phone/Fax

Practice location:
  • Phone: 508-420-6950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP101141
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: