Provider Demographics
NPI:1669652970
Name:SCHILKE, MARGARET (CCC LSP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:SCHILKE
Suffix:
Gender:F
Credentials:CCC LSP
Other - Prefix:MS
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:SCHILKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC LSP
Mailing Address - Street 1:29 CRANVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-2244
Mailing Address - Country:US
Mailing Address - Phone:508-385-1914
Mailing Address - Fax:
Practice Address - Street 1:29 CRANVIEW RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2244
Practice Address - Country:US
Practice Address - Phone:508-385-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6081235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist