Active NPIIndividual providerSole proprietor

Gabrielle Mckenna, MS, CCC-SLP

Speech-Language Pathologist, in West Brookfield, Massachusetts

NPI Number1053964494
Practice location
315 Keys RD, West Brookfield, MA 01585-6091
Fax
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Last updated
March 16, 2024

Gabrielle Mckenna is a Speech-Language Pathologist, based in West Brookfield, MA. Gabrielle Mckenna practices in West Brookfield, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Gabrielle Mckenna is 1053964494 and holds a License No. SLP77034 (MA). The current practice location address for Gabrielle Mckenna is 315 Keys RD, West Brookfield, MA 01585-6091 and can be reached out via phone at 401-225-0913.

Provider Profile Details

NPI Number
1053964494
Provider Name
Gabrielle Mckenna
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
315 Keys RD, West Brookfield, MA 01585-6091
Phone Number
401-225-0913
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Gabrielle Audette (Former Name)
Provider Enumeration Date
July 23, 2019
Last Update Date
March 16, 2024
Certification Date
March 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
315 Keys RD
West Brookfield, MA 01585-6091
Zip
01585-6091
Phone Number
401-225-0913
West Brookfield, MA 01585Get directions →

Provider Business Mailing Address Details

Address
37 Adams St Apt 2
Worcester, MA 01604-1669
City
Worcester
State
MA
Zip
01604-1669

License Information

License Number (1)
SLP77034
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
77304
License State (2)
MA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gabrielle Mckenna, MS, CCC-SLP?

The NPI number of Gabrielle Mckenna, MS, CCC-SLP is 1053964494. It was assigned on July 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Gabrielle Mckenna, MS, CCC-SLP?

Gabrielle Mckenna, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SLP77034.

Where does Gabrielle Mckenna, MS, CCC-SLP practice?

The practice location is 315 Keys RD, West Brookfield, MA 01585-6091. The office can be reached at 401-225-0913 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053964494 directly on the NPPES registry website.

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