Provider Demographics
NPI:1255707303
Name:MCGHINNIS, WENDY A
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:MCGHINNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17210 LANCASTER HWY
Mailing Address - Street 2:STE 401
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2024
Mailing Address - Country:US
Mailing Address - Phone:828-430-8400
Mailing Address - Fax:
Practice Address - Street 1:200A S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3316
Practice Address - Country:US
Practice Address - Phone:828-430-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1464237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist