Provider Demographics
NPI:1316948466
Name:MCGAHAN, CHRISTINA NEAL (AUD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:NEAL
Last Name:MCGAHAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4763 CAMINITO DE LOS CEPILLOS
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-5025
Mailing Address - Country:US
Mailing Address - Phone:949-510-0895
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL, CAMP PENDLETOPN
Practice Address - Street 2:BLDG H100, SANTA MARGARITA ROAD ATTENTION: CODE CS-PA
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2284231H00000X
CA6005231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist