Provider Demographics
NPI:1073649315
Name:SAMMONS, MARGARET CATHERINE (MS SLP CF)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:CATHERINE
Last Name:SAMMONS
Suffix:
Gender:F
Credentials:MS SLP CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 S NORTHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-1124
Mailing Address - Country:US
Mailing Address - Phone:520-870-0155
Mailing Address - Fax:
Practice Address - Street 1:1445 S NORTHVIEW AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-1124
Practice Address - Country:US
Practice Address - Phone:520-870-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP2067235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ582628Medicaid