Provider Demographics
NPI:1215751615
Name:MCGINLEY, DARLA LYNN (MA,CCC/SLP)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:LYNN
Last Name:MCGINLEY
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:MRS
Other - First Name:DARLA
Other - Middle Name:LYNN
Other - Last Name:PITTENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2063 LIVE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8442
Mailing Address - Country:US
Mailing Address - Phone:407-709-6509
Mailing Address - Fax:
Practice Address - Street 1:THE ADDISON OF NARCOOSSEE
Practice Address - Street 2:2910 N NARCOOSSEE ROAD
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771
Practice Address - Country:US
Practice Address - Phone:321-895-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA4417235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist