Provider Demographics
NPI:1275008286
Name:BOST, MARGARET JONES (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JONES
Last Name:BOST
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 MECHANICSVILLE ELEMENTARY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1725
Mailing Address - Country:US
Mailing Address - Phone:804-723-2640
Mailing Address - Fax:804-723-3643
Practice Address - Street 1:7425 MECHANICSVILLE ELEMENTARY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1725
Practice Address - Country:US
Practice Address - Phone:804-723-2640
Practice Address - Fax:804-723-3643
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist