Provider Demographics
NPI:1710014527
Name:HARGROVE, MARGARET RUTH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:RUTH
Last Name:HARGROVE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:RUTH
Other - Last Name:SAMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:12069 SAND HILL MANOR DR
Mailing Address - Street 2:
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1464
Mailing Address - Country:US
Mailing Address - Phone:410-442-2341
Mailing Address - Fax:
Practice Address - Street 1:12069 SAND HILL MANOR DR
Practice Address - Street 2:
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1464
Practice Address - Country:US
Practice Address - Phone:410-442-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1810353OtherCIGNA HEALTHCARE
DCJ885 0001OtherCAREFIRST BCBS
MD998AMROtherCAREFIRST BCBS