Provider Demographics
NPI:1609153352
Name:LANGTON, MARGUERITE B (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:B
Last Name:LANGTON
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 1:1 ROCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2080
Mailing Address - Country:US
Mailing Address - Phone:631-327-6130
Mailing Address - Fax:631-423-4216
Practice Address - Street 1:1 ROCHESTER CT
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2080
Practice Address - Country:US
Practice Address - Phone:631-327-6130
Practice Address - Fax:631-423-4216
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010318-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist