Provider Demographics
NPI:1871900787
Name:MCGONIGAL, APRIL SUSAN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:SUSAN
Last Name:MCGONIGAL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:SUSAN
Other - Last Name:FREGOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:10671 SAGETOWN RD,
Mailing Address - Street 2:
Mailing Address - City:LINDLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14858-9732
Mailing Address - Country:US
Mailing Address - Phone:315-842-0256
Mailing Address - Fax:607-734-1985
Practice Address - Street 1:10671 SAGETOWN RD.
Practice Address - Street 2:
Practice Address - City:LINDLEY
Practice Address - State:NY
Practice Address - Zip Code:14858-9732
Practice Address - Country:US
Practice Address - Phone:315-842-0256
Practice Address - Fax:607-734-1985
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024723235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist