Provider Demographics
NPI:1700024379
Name:MULLER, MAGGIE JEAN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:JEAN
Last Name:MULLER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:MAGGIE
Other - Middle Name:JEAN
Other - Last Name:WERNIMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:2400 POPLAR AVE
Mailing Address - Street 2:TIMBER CREEK THERAPIES
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115
Mailing Address - Country:US
Mailing Address - Phone:641-747-3225
Mailing Address - Fax:641-747-3045
Practice Address - Street 1:2400 POPLAR AVE
Practice Address - Street 2:TIMBER CREEK THERAPIES
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115
Practice Address - Country:US
Practice Address - Phone:641-747-3225
Practice Address - Fax:641-747-3045
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist