Provider Demographics
NPI:1467146407
Name:MARGARET M LOOMIS SPEECH & LANGUAGE SERVICES, LLC
Entity Type:Organization
Organization Name:MARGARET M LOOMIS SPEECH & LANGUAGE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLETTE-LOOMIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:508-965-8516
Mailing Address - Street 1:40 HEMENWAY RD
Mailing Address - Street 2:
Mailing Address - City:EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02642-2502
Mailing Address - Country:US
Mailing Address - Phone:508-965-8516
Mailing Address - Fax:
Practice Address - Street 1:40 HEMENWAY RD
Practice Address - Street 2:
Practice Address - City:EASTHAM
Practice Address - State:MA
Practice Address - Zip Code:02642-2502
Practice Address - Country:US
Practice Address - Phone:508-965-8516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech