Basic Information
| Provider Information | |||||||||
| NPI: | 1093012486 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCFARLAND | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | GAIL | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8477 S SUNCOAST BLVD | ||||||||
| Address2: | |||||||||
| City: | HOMOSASSA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344465028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523821141 | ||||||||
| FaxNumber: | 3523821146 | ||||||||
| Practice Location | |||||||||
| Address1: | 3428 GULF BREEZE PKWY | ||||||||
| Address2: | |||||||||
| City: | GULF BREEZE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325631400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8509322655 | ||||||||
| FaxNumber: | 8509322655 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2011 | ||||||||
| LastUpdateDate: | 02/21/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SA 5753 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.