Provider Demographics
NPI:1346538618
Name:MORAVEK, MARGARET MULCRONE (MS)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MULCRONE
Last Name:MORAVEK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 E VANDERBILT DR
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2371
Mailing Address - Country:US
Mailing Address - Phone:141-249-6082
Mailing Address - Fax:724-687-0799
Practice Address - Street 1:571 E VANDERBILT DR
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2371
Practice Address - Country:US
Practice Address - Phone:141-249-6082
Practice Address - Fax:724-687-0799
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000592235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist