Provider Demographics
NPI:1447973441
Name:MCGARY, LINDA BAKER
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:BAKER
Last Name:MCGARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13040 N LAKE CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2549
Mailing Address - Country:US
Mailing Address - Phone:504-919-8908
Mailing Address - Fax:
Practice Address - Street 1:2401 HUMANITY ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-4701
Practice Address - Country:US
Practice Address - Phone:504-324-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist