Provider Demographics
NPI:1679090823
Name:EASTON, MARGARET (MA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:EASTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:EASTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:7022 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4809
Mailing Address - Country:US
Mailing Address - Phone:206-715-3871
Mailing Address - Fax:
Practice Address - Street 1:7022 N 2ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4809
Practice Address - Country:US
Practice Address - Phone:206-715-3871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP10790235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist