Provider Demographics
NPI:1598803199
Name:SPEICHER, MARGA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:MARGA
Middle Name:
Last Name:SPEICHER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 GREY OAK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1603
Mailing Address - Country:US
Mailing Address - Phone:210-732-5000
Mailing Address - Fax:210-348-9766
Practice Address - Street 1:1438 GREY OAK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1603
Practice Address - Country:US
Practice Address - Phone:210-732-5000
Practice Address - Fax:210-348-9766
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S78UOtherBLUE CROSS