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NPI Code Detail

MEDICARE: MRS. PAULA CHRISTINE MACDOUGALL-PAULY M.S., CCC-SLP

MEDICARE: MRS. PAULA CHRISTINE MACDOUGALL-PAULY M.S., CCC-SLP
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
1235Z00000XSpeech-Language PathologistSZ5675FL
2235Z00000XSpeech-Language PathologistSA 11830FL

General Provider Information

NPI Number : 1356617864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA CHRISTINE MACDOUGALL-PAULY M.S., CCC-SLP
Provider Business Mailing Address
First Line : 5200 N FLAGLER DR
Second Line : #1406
City : WEST PALM BEACH
State : FL
Zip : 33407-2768
Country : US
Telephone Number : 561-601-8304
Fax Number :
Provider Business Practice Location Address
First Line : 4405 LAKEWOOD RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-3414
Country : US
Telephone Number : 772-286-9440
Fax Number : 772-283-3061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2012
Last Update Date : 07/28/2015

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Directions to “ MRS. PAULA CHRISTINE MACDOUGALL-PAULY M.S., CCC-SLP” Practice Location

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