MEDICARE: ANDREA MCGEHEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	12698	CA

General Provider Information

NPI Number	:	1154940252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MCGEHEE

Provider Business Mailing Address
First Line	:	4515 PORTOLA PKWY
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-2200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4515 PORTOLA PKWY
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-2200
Country	:	US
Telephone Number	:	949-936-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2020
Last Update Date	:	04/09/2020

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Directions to “ ANDREA MCGEHEE ” Practice Location

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