Provider Demographics
NPI:1801213384
Name:MORAGNE, MARGIE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:
Last Name:MORAGNE
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 1:5171 STEVENSON ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2761
Mailing Address - Country:US
Mailing Address - Phone:216-870-3071
Mailing Address - Fax:
Practice Address - Street 1:5171 STEVENSON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2761
Practice Address - Country:US
Practice Address - Phone:216-870-3071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist