Provider Demographics
NPI:1376892497
Name:MCGINNIS-ROMANO, MARGUERITE ANN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:ANN
Last Name:MCGINNIS-ROMANO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TOP NOTCH DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365-5929
Mailing Address - Country:US
Mailing Address - Phone:315-823-1968
Mailing Address - Fax:
Practice Address - Street 1:25 TOP NOTCH DR
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NY
Practice Address - Zip Code:13365-5929
Practice Address - Country:US
Practice Address - Phone:315-823-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012743-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist