Provider Demographics
NPI:1801433669
Name:MAGEE, ROXANA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROXANA
Middle Name:
Last Name:MAGEE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22302 CENTER ST APT 37
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-6609
Mailing Address - Country:US
Mailing Address - Phone:619-495-9461
Mailing Address - Fax:
Practice Address - Street 1:2644 SOMERSET AVE
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4016
Practice Address - Country:US
Practice Address - Phone:510-727-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-28
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32151235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist