Provider Demographics
NPI:1497036503
Name:MACLACHLAN, MARGARET KATHRYN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:KATHRYN
Last Name:MACLACHLAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 WALKER AVE NW
Mailing Address - Street 2:C/O VILLA MARIA
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-4098
Mailing Address - Country:US
Mailing Address - Phone:616-459-9701
Mailing Address - Fax:
Practice Address - Street 1:18302 W BURTON AVE
Practice Address - Street 2:C/O MOUNTAIN VIEW ELEMENTARY
Practice Address - City:WADDELL
Practice Address - State:AZ
Practice Address - Zip Code:85355-4275
Practice Address - Country:US
Practice Address - Phone:623-876-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12112685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist