Provider Demographics
NPI:1689814733
Name:NOVOTNY, MARGARET (SLP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:NOVOTNY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2188 E PLACID DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-7679
Mailing Address - Country:US
Mailing Address - Phone:713-213-9898
Mailing Address - Fax:
Practice Address - Street 1:2188 E PLACID DR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-7679
Practice Address - Country:US
Practice Address - Phone:713-213-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT09136761235Z00000X
TX204714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty